# PHOEBE PUTNEY MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336215615
- **Authorized official:** MRS. NICOLE BRUEDER (AVP, BUSINESS AFFAIRS)
- **Authorized official phone:** (229) 312-4268

## Contact information

- **Practice address:** 417 W 3RD AVE, ALBANY, GA 31701-1943
- **Practice address phone:** (229) 312-4268
- **Practice address fax:** (229) 312-4316
- **Mailing address:** 417 W 3RD AVE, PO BOX 3770, ALBANY, GA 31701-1943
- **Mailing address phone:** (229) 312-4268
- **Mailing address fax:** (229) 312-4316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | GA | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 06/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00001482J | — | GA |