Organization Active NPI

Palmyra Park Hospital, Inc.

Doing business as Palmyra Medical Centers

  • General Acute Care Hospital
  • Albany, GA
National Provider Identifier
1073567038
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PALMYRA PARK HOSPITAL, INC.
Doing business as
Palmyra Medical Centers
Practice address
2000 Palmyra Rd
Albany, GA 31701-1528
Phone
(229) 434-2000
Fax
(229) 434-2138
NPI assigned
May 22, 2006
Last updated
Jun 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Hayes
Title
Cfo
Phone
(229) 434-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

2000 Palmyra Rd
Albany, GA 31701-1528

Mailing address

2000 Palmyra Rd
Albany, GA 31701-1528
Phone (912) 434-2000

Other identifiers 7

IdentifierTypeStateIssuer
012394508MedicaidMO
01807661MedicaidNY
10055AMedicaidSC
279OtherGABLUE CROSS
00001416AMedicaidGA
1704156MedicaidLA
156077000OtherDEPT OF LABOR

Other names 1

  • PALMYRA MEDICAL CENTERS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palmyra Medical Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1073567038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011528",
            "telephone_number": "912-434-2000",
            "fax_number": "912-434-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011528",
            "telephone_number": "229-434-2000",
            "fax_number": "229-434-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMYRA PARK HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-434-2100"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012394508",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01807661",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10055A",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "279",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00001416A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704156",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "156077000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALMYRA MEDICAL CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.