# PHOEBE PUTNEY MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phoebe Putney Memorial Hosptial
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992789721
- **Authorized official:** MR. BRIAN CHURCH (CFO)
- **Authorized official phone:** (229) 312-4068

## Contact information

- **Practice address:** 417 WEST THIRD AVENUE, ALBANY, GA 31701-1943
- **Practice address phone:** (229) 312-1000
- **Practice address fax:** (229) 312-6705
- **Mailing address:** 417 WEST THIRD AVENUE, ALBANY, GA 31701-1943
- **Mailing address phone:** (229) 312-1000
- **Mailing address fax:** (229) 312-6705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 047-682 | GA | Yes |
| 282N00000X | General Acute Care Hospital | 047448 | GA | — |

## Other

- **Enumeration date:** 12/05/2005
- **Last updated:** 05/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00001416A | — | GA |
| 05 | — | 00001482A | — | GA |
| 01 | — | 000846 | BLUE CROSS | GA |