# PALMYRA PARK HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PALMYRA MEDICAL CENTERS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982658944
- **Authorized official:** PATRICK BOLANDER (CFO)
- **Authorized official phone:** (229) 434-2100

## Contact information

- **Practice address:** 2000 PALMYRA RD, ALBANY, GA 31701-1528
- **Practice address phone:** (912) 434-2000
- **Practice address fax:** (912) 434-2563
- **Mailing address:** PO BOX 1908, ALBANY, GA 31702-1908
- **Mailing address phone:** (912) 434-2000
- **Mailing address fax:** (912) 434-2563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 11519B | — | SC |