PHOEBE PUTNEY MEMORIAL HOSPITAL, INC (NPI# 1114021847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114021847 |
| Entity Type | Organization |
| Organization Name | PHOEBE PUTNEY MEMORIAL HOSPITAL, INC |
| Other Organization Name | PHOEBE ORTHOPEDIC SUPPLIES |
| Practice Address |
417 3rd Ave Albany GA 31702-1828 |
| Practice Telephone | 2293128600 |
| Practice Fax Number | 2293128624 |
| Mailing Telephone | 2293128600 |
| Mailing Fax Number | 2293128624 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2009-04-24 |
| Authorized Official Name | MR. KERRY LOUDERMILK (SENIOR V.P./CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2293124068 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 16760 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000628592B | 05 |
| Other Name | Type Code |
|---|---|
| Phoebe Orthopedic Supplies | Doing Business As Name - Organization |
| 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 3RD AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31702-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336353911 | Phoebe Radiology Associates | Radiology | 417 3rd Ave, Albany, GA 31701-1960 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790102465 | Henry Rivers | Specialist/Technologist | 601 N. Van Bruen St., Albany, GA 31702 | 2014-03-19 |
| 1700215696 | Infinity Health Systems,inc | In Home Supportive Care | 141 West Broad Ave Suite D, 141 West Broad Avenue Suite D, Albany, GA 31702 | 2013-11-01 |
| 1093746463 | Emily Rose Wynn | Nurse Practitioner | Phoebe Putney Memorial Hospital, 417 Third Ave, Suite 300, Albany, GA 31702-1828 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1356942023 | Kevin Thach Le | Pharmacist | 610 San Gabriel Ave Apt B, Albany, CA 94706-1469 | 2020-11-08 |
| 1780285551 | Rebeca C Moreno | Community Health Worker | 315 4th Ave Sw Fl 2, Albany, OR 97321-2338 | 2020-11-06 |
| 1396346169 | Debra Davis | Massage Therapist | 702 Baldwin Dr Ste A, Albany, GA 31707-4027 | 2020-11-06 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1972104354 | Jrrx LLC | Pharmacy | 621 Hickory St Nw, Albany, OR 97321-1754 | 2020-11-03 |
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 1093314171 | Miranda Tasker | Doula | 636 11th Ave Sw, Albany, OR 97321-2506 | 2020-10-20 |
| 1548868987 | Heros for Success | Medical Foods Supplier | 431 Jefferies Ave, Albany, GA 31701-3431 | 2020-10-16 |
| 1740888379 | Candice Leggett Hunter | Driver | 1505 E Roosevelt Ave, Albany, GA 31705-2061 | 2020-10-15 |
| Find all providers in ALBANY | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144854191 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 260 S Pearl St Ste P, Albany, NY 12202-1809 | 2020-02-28 |
| 1801451919 | Optum Telemed, Inc. | Durable Medical Equipment & Medical Supplies | 2021 N Slappey Blvd Ste 203, Albany, GA 31701-1001 | 2019-05-03 |
| 1578088795 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 911 Central Ave Ste 10, Albany, NY 12206-1304 | 2017-08-09 |
| 1265962906 | Shoes and Medical Product Solutions LLC | Durable Medical Equipment & Medical Supplies | 1715 E Oglethorpe Blvd, Albany, GA 31705 | 2017-06-15 |
| 1255867545 | David Sampson | Durable Medical Equipment & Medical Supplies | 208 Adelyn Rd, Albany, GA 31705-2308 | 2017-05-04 |
| 1164889580 | Georgia Bracing Center | Durable Medical Equipment & Medical Supplies | 2021 N Slappey Blvd, Ste 203, Albany, GA 31701-1001 | 2016-01-16 |
| 1962872762 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2586 N Slappey Blvd, Albany, GA 31701-1012 | 2015-10-06 |
| 1255717278 | Shearer Drug Inc | Durable Medical Equipment & Medical Supplies | 260 Burkesville Rd, Albany, KY 42602 | 2015-07-31 |
| 1841673811 | Optum Infusion Services 100, Inc. | Durable Medical Equipment & Medical Supplies | 25 Post Rd, Ste. 5, Albany, NY 12205-4781 | 2015-07-08 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| Find all providers in ALBANY | ||||
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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.