Organization · NPI-2

Federal Government

Military Hospital · Fort Stewart, GA

NPI number1114184777
StatusActive
Last updated in NPPESMay 21, 2008

Details

NPI
1114184777
Entity type
Organization (NPI-2)
Legal business name
Federal Government
Organization subpart
No
Enumeration date
May 21, 2008
Last updated
May 21, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
286500000X Military HospitalGA4170GAYes

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Phone 912-435-5454

Mailing address

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Authorized official

Bonita Porter
Chief Administrator
9124356633

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