Organization
PALMYRA PARK HOSPITAL, INC.
Active
Other names
PALMYRA MEDICAL CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN HAYES (CFO)
(229) 434-2100
Entity
Organization
Contact information
Practice address
2000 PALMYRA RD, ALBANY, GA 31701-1528
(229) 434-2000
(229) 434-2138
Mailing address
2000 PALMYRA RD, ALBANY, GA 31701-1528
(912) 434-2000
(912) 434-2563
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001416A
—
GA
05
—
012394508
—
MO
05
—
01807661
—
NY
05
—
10055A
—
SC
01
—
156077000
DEPT OF LABOR
—
05
—
1704156
—
LA
01
—
279
BLUE CROSS
GA
Enumeration date
05/22/2006
Last updated
06/24/2010
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