Organization
PUTNAM GENERAL HOSPITAL AUTHORITY
Active
Organization
PUTNAM GENERAL HOSPITAL AUTHORITY
Active
Other names
Putnam General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA CULBERSON (COMPLIANCE OFFICER)
(706) 923-2006
Entity
Organization
Contact information
Practice address
101 LAKE OCONEE PKWY, EATONTON, GA 31024-6054
(706) 923-2002
(706) 485-2702
Mailing address
101 LAKE OCONEE PKWY, EATONTON, GA 31024-6054
(706) 923-2002
(706) 485-2702
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
117-216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001537A
—
GA
01
—
0006210575
AETNA PROVIDER NUMBER
GA
01
—
336
BC/BS PROVIDER NUMBER
GA
Enumeration date
06/25/2006
Last updated
06/18/2024
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