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Organization
PHOEBE PUTNEY MEMORIAL HOSPITAL INC
Active
Organization
PHOEBE PUTNEY MEMORIAL HOSPITAL INC
Active
Other names
Phoebe Putney Memorial Hosptial
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CHURCH (CFO)
(229) 312-4068
Entity
Organization
Contact information
Practice address
417 WEST THIRD AVENUE, ALBANY, GA 31701-1943
(229) 312-1000
(229) 312-6705
Mailing address
417 WEST THIRD AVENUE, ALBANY, GA 31701-1943
(229) 312-1000
(229) 312-6705
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
047-682
GA
282N00000X
General Acute Care Hospital
047448
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001416A
—
GA
05
—
00001482A
—
GA
01
—
000846
BLUE CROSS
GA
Enumeration date
12/05/2005
Last updated
05/22/2020
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