PHOEBE PUTNEY MEMORIAL HOSPITAL (NPI# 1295907475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295907475 |
| Entity Type | Organization |
| Organization Name | PHOEBE PUTNEY MEMORIAL HOSPITAL |
| Other Organization Name | CHILDBIRTH LACTATION CENTER |
| Practice Address |
414 5th Ave Albany GA 31701-1918 |
| Practice Telephone | 2293122810 |
| Practice Fax Number | 2293122805 |
| Mailing Telephone | 2293122810 |
| Mailing Fax Number | 2293122805 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |
| Authorized Official Name | MRS. NINA HANCOCK (DIRECTOR) |
| Authorized Official Telephone | 2293122810 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOEBE PUTNEY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 103976 | GA | Suppliers |
| Other Name | Type Code |
|---|---|
| Childbirth Lactation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316060585 | Phoebe Putney Memorial Hospital | Family Medicine | 2410 Sylvester Rd, Albany, GA 31705-2479 | 2007-04-10 |
| 1225151491 | Phoebe Putney Memorial Hospital | Internal Medicine | 425 W 3rd Ave Ste 340, Albany, GA 31701-1968 | 2007-04-10 |
| 1134242308 | Phoebe Putney Memorial Hospital | Surgery | 425 W 3rd Ave Ste 510, Albany, GA 31701-1959 | 2007-04-10 |
| 1407979677 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd Ste 1600, Albany, GA 31707-2442 | 2007-04-10 |
| 1972625481 | Phoebe Putney Memorial Hospital | Surgery | 409 W 4th Ave, Albany, GA 31701-1915 | 2007-04-04 |
| 1669594222 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2442 | 2007-04-04 |
| 1225072846 | Phoebe Putney Memorial Hospital | Internal Medicine | 507 W 3rd Ave, Ste 100, Albany, GA 31701-1958 | 2006-06-15 |
| 1891315420 | Phoebe Putney Memorial Hospital | Pharmacy | 427 W 3rd Ave, Albany, GA 31701-1975 | 2020-04-23 |
| 1609268176 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd, Suite 2200, Albany, GA 31707-2800 | 2015-02-20 |
| 1487089132 | Phoebe Putney Memorial Hospital | General Acute Care Hospital | 417 W 3rd Ave, Albany, GA 31701-1943 | 2013-09-12 |
| 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 |
414 5TH AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265425797 | Penny L Champion | Advanced Practice Midwife | 414 5th Ave, Albany, GA 31701-1976 | 2005-08-30 |
| 1760016869 | Whitney Pilgrim | Obstetrics & Gynecology | 414 5th Ave, Albany, GA 31701-1976 | 2020-02-27 |
| 1689007049 | Kari Lowery Bradshaw | Nurse Practitioner | 414 5th Ave, Albany, GA 31701-1976 | 2013-08-20 |
| 1265686083 | Lynette Marie Talley | Midwife | 414 5th Ave, Albany, GA 31701-1918 | 2008-11-06 |
| 1588786495 | Women's Health Professionals LLC | Specialist | 414 5th Ave, Albany, GA 31701-1918 | 2007-04-04 |
| 1053416511 | Paul Andrew Smurda | Obstetrics & Gynecology | 414 5th Ave, Albany, GA 31701-1918 | 2006-09-13 |
| 1912001421 | Thomas Carter Talley | Obstetrics & Gynecology | 414 5th Ave, Albany, GA 31701-1918 | 2006-09-13 |
| 1740273267 | Steven E Kitchen X | Obstetrics & Gynecology | 414 5th Ave, Albany, GA 31701-1918 | 2005-08-30 |
| 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 | 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 | ||||
Please comment or provide details below to improve the information on PHOEBE PUTNEY MEMORIAL HOSPITAL.
| 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.