OrganizationActive
Martin Army Community Hospital
NPI 1164679601 · Military/U.S. Coast Guard Outpatient Clinic/Center · Eglin Afb, FL
Provider details
- NPI number
- 1164679601
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Martin Army Community Hospital
- Organization subpart
- Yes
- Authorized official
- Kertredia Davis, Ubo Manager(762) 408-0007
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6069 Walkers Ln
Tmc 12 Camp Rudder
Eglin Afb, FL 32542-8505
Phone: (850) 882-1170
Approximate (ZIP-level) locationGet directions
Mailing address
6600 Van Aalst Blvd Bldg 9250
Fort Benning, GA 31905-2102
Other names (DBA / former)
- Doing business as
- Tmc Eglin Afb
- Doing business as
- Tmc Eglin Afb
Registry dates
- Enumerated
- 2008-08-27
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.