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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