7TH SPECIAL FORCES-TMC 9-EGLIN – NPI #1588945612
Clinic/Center

The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

7TH SPECIAL FORCES-TMC 9-EGLIN is an AHC clinic located in EGLIN AFB, FL. NPPES has assigned the NPI number 1588945612 to 7TH SPECIAL FORCES-TMC 9-EGLIN on September 02, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “7TH SPECIAL FORCES-TMC 9-EGLIN” is a dba name, the actual legal business name for this organization is MARTIN ARMY COMMUNITY HOSPITAL. The primary taxonomy selected by this provider is 261QM1100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient

The NPI profile was previously updated about 6 years ago on Oct 05, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 7TH SPECIAL FORCES-TMC 9-EGLIN below.

NPI Profile for
MARTIN ARMY COMMUNITY HOSPITAL

NPI Number
1588945612
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARTIN ARMY COMMUNITY HOSPITAL
Doing Business As (dba): 7TH SPECIAL FORCES-TMC 9-EGLIN
Primary location
4327 NORTH EL SALVADOR WAY
EGLIN AFB, FL 32542
Phone: (850) 885-9979 Fax:
Mailing address
6600 VAN AALST BLVD BLDG 9250
ATTN MCXB-PP MEDDAC
FORT BENNING, GA 31905-2102
Phone: (762) 408-2273 Fax:
Organization Subpart
Yes - 7TH SPECIAL FORCES-TMC 9-EGLIN is subpart of another organization.
Authorized Official
DENNIS JONES
UBO MANAGER
Phone: (706) 544-5724
Updated
Certification Date
Oct 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for 7TH SPECIAL FORCES-TMC 9-EGLIN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPARENT FACILITY NPI1194730846
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1100X
- Clinic/Center / Military/U.S. Coast Guard Outpatient (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.