PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. (NPI# 1821239765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821239765 |
Entity Type | Organization |
Organization Name | PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. |
Other Organization Name | PHOEBE FAMILY MEDICAL CENTER - PELHAM |
Practice Address |
410 Curry St Ne Pelham GA 31779-1457 |
Mailing Address |
Po Box 3109 Albany GA 31706-3109 |
Practice Telephone | 2292949233 |
Mailing Telephone | 2292949233 |
Mailing Fax Number | 2299248146 |
Enumeration Date | 2009-03-23 |
Last Update Date | 2014-02-11 |
Authorized Official Name | ROBERT LAGESSE (SR VP PHYSICIAN SERVICES) |
Authorized Official Telephone | 2293121000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
GA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Phoebe Family Medical Center - Pelham | Doing Business As Name - Organization |
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 |
1336215615 | Phoebe Putney Memorial Hospital, Inc. | Ambulance | 417 W 3rd Ave, Albany, GA 31701-1943 | 2006-11-28 |
1013095868 | Phoebe Putney Memorial Hospital, Inc. | Ambulance | 417 W 3rd Ave, Albany, GA 31701 | 2006-11-01 |
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 |
410 CURRY ST NE |
City | PELHAM |
State | GA |
Zip Code | 31779-1457 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124093380 | David Brian Drury | Family Medicine | 410 Curry St Ne, Pelham, GA 31779-1457 | 2006-02-21 |
1215460761 | Phoebe Primary Care of Pelham | Clinic/Center | 410 Curry St Ne, Pelham, GA 31779-1457 | 2017-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831689728 | Autry State Prison Pharmacy | Pharmacy | 3178 Mount Zion Church Rd, Pelham, GA 31779 | 2018-05-16 |
1851776181 | Thomas & Son Family & Child Resource Center, Inc | Community/Behavioral Health | 113 Mclaughlin Street, Nw, Pelham, GA 31779 | 2015-07-28 |
1811922115 | Hayden H Moye | Pharmacist | 162 E Railroad St Se, Pelham, GA 31779 | 2006-07-12 |
1295820660 | Hospital Authority of Mitchell County | Skilled Nursing Facility | 608 Dogwood Dr Ne, Pelham, GA 31779-1132 | 2006-10-03 |
1326329566 | Mary Elaine Bailey | Nurse Practitioner | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2011-09-01 |
1053763961 | Sarah Brooks | Nurse Practitioner | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2016-07-05 |
1881960151 | Hospital Authority of Mitchell County | Clinic/Center | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2012-03-30 |
1902828205 | B. Bonita Richter | Dentist | 137 Hand Pl, Pelham, GA 31779-1236 | 2006-07-24 |
1194790626 | Cynthia Parker Drury | Family Medicine | 167 Hand Ave W, Pelham, GA 31779-1268 | 2006-02-20 |
1306046016 | Mitchell County Hospital | Clinic/Center | 167 Hand Ave W, Pelham, GA 31779-1268 | 2007-07-20 |
Find all providers in zip 31779 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881960151 | Hospital Authority of Mitchell County | Clinic/Center | 250 Blanton St Ne, Pelham, GA 31779-1138 | 2012-03-30 |
1306046016 | Mitchell County Hospital | Clinic/Center | 167 Hand Ave W, Pelham, GA 31779-1268 | 2007-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
1518398049 | Norman Park Family Medicine Clinic | Clinic/Center | 139 East Broad Street, Norman Park, GA 31771 | 2013-12-10 |
1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
1427384353 | Union County Hospital Authority | Clinic/Center | 103 Church St Ste A, Hiawassee, GA 30546-3223 | 2009-10-28 |
1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
1376778001 | Phoebe Sumter Medical Center, Inc | Clinic/Center | 339 S Broad St, Ellaville, GA 31806-3304 | 2009-05-26 |
Find all providers with the same taxonomy |
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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.