Organization Active NPI

Phoebe Putney Memorial Hospital

  • Durable Medical Equipment & Medical Supplies
  • Albany, GA
National Provider Identifier
1295907475
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103976 Issued in GA
Legal business name
PHOEBE PUTNEY MEMORIAL HOSPITAL
Practice address
414 5TH Ave
Albany, GA 31701-1918
Phone
(229) 312-2810
Fax
(229) 312-2805
NPI assigned
Mar 28, 2008
Organization subpart
Yes
Parent organization
PHOEBE PUTNEY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Mrs. Nina Hancock
Title
Director
Phone
(229) 312-2810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103976 GA Primary

Addresses

Primary practice location

414 5TH Ave
Albany, GA 31701-1918

Mailing address

414 5TH Ave
Albany, GA 31701-1918
Phone (229) 312-2810

Other names 1

  • Childbirth Lactation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phoebe Putney Memorial30 organizations share this tax ID, including this one
Part of
Phoebe Putney Memorial

Other organizations with this tax ID 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1295907475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 5TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011918",
            "telephone_number": "229-312-2810",
            "fax_number": "229-312-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 5TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011918",
            "telephone_number": "229-312-2810",
            "fax_number": "229-312-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOEBE PUTNEY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOEBE PUTNEY MEMORIAL HOSPITAL",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "229-312-2810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "103976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childbirth Lactation Center",
            "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 Mar 28, 2008; 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.