PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. (NPI# 1013095868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013095868 |
| Entity Type | Organization |
| Organization Name | PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. |
| Practice Address |
417 W 3rd Ave Albany GA 31701 |
| Mailing Address |
Po Box 3770 417 W 3rd Ave Albany GA 31706-3770 |
| Practice Telephone | 2293124268 |
| Mailing Telephone | 2293124268 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | MRS. NICOLE BRUEDER (AVP, BUSINESS AFFAIRS) |
| Authorized Official Telephone | 2293124268 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
GA | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821293788 | Phoebe Putney Memorial Hospital, Inc. | Clinic/Center | 48 Us Highway 19 S, Camilla, GA 31730-1960 | 2007-06-19 |
| 1871697508 | Phoebe Putney Memorial Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 427 W Third Avenue, Albany, GA 31701 | 2006-09-12 |
| 1821239765 | Phoebe Putney Memorial Hospital, Inc. | Clinic/Center | 410 Curry St Ne, Pelham, GA 31779-1457 | 2009-03-23 |
| 1336215615 | Phoebe Putney Memorial Hospital, Inc. | Ambulance | 417 W 3rd Ave, Albany, GA 31701-1943 | 2006-11-28 |
| 1952412009 | Phoebe Putney Memorial Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 2336 Dawson Rd, Suite 1100, Albany, GA 31707-2442 | 2006-08-31 |
| 1316992027 | Phoebe Putney Memorial Hospital, Inc. | Rehabilitation Unit | 417 W 3rd Ave, Albany, GA 31701-1943 | 2006-05-23 |
| 1669438404 | Phoebe Putney Memorial Hospital, Inc. | Psychiatric Unit | 417 W 3rd Ave, Albany, GA 31701 | 2006-04-21 |
| 1851356349 | Phoebe Putney Memorial Hospital, Inc. | Hospice, Inpatient | 320 Foundation Ln, Albany, GA 31707-5862 | 2006-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. | 417 W 3rd Ave, Albany, GA 31706-1943 |
| Street Address |
417 W 3RD AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232503 | Teresa Joy Bohlmeyer | Pathology | 417 W 3rd Ave, Albany, GA 31701-1943 | 2005-06-01 |
| 1861005084 | Brittany Campbell | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-27 |
| 1528679735 | Ta-tanisha Parks | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-11 |
| 1013543859 | Amber Nicole Brodbeck | Registered Nurse | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-03-12 |
| 1225676273 | Jasmine Andrews | Specialist/Technologist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-12-19 |
| 1194375543 | Madison Elizabeth Miller | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-09-18 |
| 1548816457 | Taylor Leigh Holmes | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-08-15 |
| 1689228850 | Christopher Moody | Specialist/Technologist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-07-26 |
| 1922651223 | Evans Ngwa Mabo | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-07-17 |
| 1144789082 | Joyce Anderson | Home Health | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1336215615 | Phoebe Putney Memorial Hospital, Inc. | Ambulance | 417 W 3rd Ave, Albany, GA 31701-1943 | 2006-11-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.