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Martin Army Community Hospital

Military/U.S. Coast Guard Outpatient Clinic/Center in Eglin Afb, FL · enumerated 2008 · authorized official Kertredia Davis, Ubo Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164679601

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Martin Army Community Hospital
Other name <Unavail>
Parent organization Martin Army Community Hospital
Practice address 6069 Walkers Ln, Tmc 12 Camp Rudder, Eglin Afb, FL, 32542
Enumeration date Aug 27, 2008
Last updated in NPPES Jan 20, 2021

Taxonomy & classification

261QM1100X Military/U.S. Coast Guard Outpatient Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kertredia Davis
Title Ubo Manager

Other identifiers

Identifier Type State Issuer
1194730846 Other - PARENT FACILITY NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Martin Army Community Hospital?
Martin Army Community Hospital is registered in NPPES as a Military/U.S. Coast Guard Outpatient Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-01-20.