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DSH110007V PHOEBE PUTNEY MEMORIAL HOSPITAL (Active)
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Main Details
Name
PHOEBE PUTNEY MEMORIAL HOSPITAL
Subdivision Name
Carlton Breast Health Center at Meredyth
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH110007V
Medicare Provider Number
110007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/29/2025
Last Recertification Date
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
2709 Meredyth Drive Suite 260
Albany, GA 31707
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2013, terminated 10/1/2022. Reinstated 4/1/2025.
01/28/2025
April 2025
April 2025
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