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CAH111313-00 PUTNAM GENERAL HOSPITAL (Active)
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Main Details
Name
PUTNAM GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH111313-00
Medicare Provider Number
111313
Additional Details
Current Program Status
Active
Registration Date
8/4/2010
Participating Start Date
8/6/2010
Participating Approval Date
8/4/2010
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Putnam General Hospital
Alan Horton, CEO
(706) 923-2001
Primary Contact
Putnam General Hospital
Edwin M Self, Director of Pharmacy
(706) 923-2029
Addresses
Street Address
101 LAKE OCONEE PARKWAY
EATONTON, GA 31024
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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