Organization
PHOEBE PUTNEY MEMORIAL HOSPITAL, INC.
Active
Parent organization
PHOEBE PUTNEY MEMORIAL HOSPITAL, INC
Other names
Phoebe Cancer Center Boutique
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOEBE PUTNEY MEMORIAL HOSPITAL, INC
Authorized official
BRIAN ALLEN CHURCH (CFO)
(229) 312-4068
Entity
Organization
Contact information
Practice address
427 W THIRD AVENUE, ALBANY, GA 31701
(229) 312-0042
(229) 312-0045
Mailing address
427 W THIRD AVENUE, ALBANY, GA 31701-1943
(229) 312-0042
(229) 312-0045
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
16760
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00932489A
—
GA
05
—
00932489B
—
GA
Enumeration date
09/12/2006
Last updated
06/07/2018
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