Organization
PHOEBE PUTNEY MEMORIAL HOSPITAL INC
Active
Other names
Phoebe Putney Memorial Hosptial
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CHURCH (CFO)
(229) 312-4068
Entity
Organization
Contact information
Practice address
417 WEST THIRD AVENUE, ALBANY, GA 31701-1943
(229) 312-1000
(229) 312-6705
Mailing address
417 WEST THIRD AVENUE, ALBANY, GA 31701-1943
(229) 312-1000
(229) 312-6705
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
047-682
GA
282N00000X
General Acute Care Hospital
047448
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001416A
—
GA
05
—
00001482A
—
GA
01
—
000846
BLUE CROSS
GA
Enumeration date
12/05/2005
Last updated
05/22/2020
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