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DSH110007A PHOEBE PUTNEY MEMORIAL HOSPITAL (Active)
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Main Details
Name
PHOEBE PUTNEY MEMORIAL HOSPITAL
Subdivision Name
PHOEBE CANCER CENTER
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH110007A
Medicare Provider Number
110007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/1/2008
Participating Start Date
1/1/2004
Participating Approval Date
3/1/2008
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Phoebe Putney Memorial Hospital
Brian Church, CFO & CAO
(229) 312-4066
Primary Contact
Phoebe Putney Health Systems
Torey Alaine Jones, 340B Program Pharmacy Manager
(229) 312-2177
Addresses
Street Address
427 WEST THIRD AVENUE
ALBANY, GA 31701
Billing Address
PHOEBE PUTNEY MEMORIAL HOSPITAL - PHOEBE CANCER CENTER
427 WEST THIRD AVENUE
ALBANY, GA 31701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/20/09 UPDATED SUBDIV NAME (WAS OUTPATIENT ONCOLOGY CLINIC); 2/20/09 UPDATED ADDR (WAS 425 THIRD AVE)
01/22/2010
April 2025
April 2025
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