CCN: 110007 NPI: 1992789721 Organization

PHOEBE PUTNEY MEMORIAL HOSPITAL

417 WEST THIRD AVENUE
ALBANY, GA 317011943

Contact Information

Phone 2293121000
Fax 2293126705
Enumeration Date 2005-12-05
Last Updated 2020-05-22

Taxonomies

Code: 282N00000X License State: GA License: 047448
Code: 282N00000X (Primary) License State: GA License: 047-682

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.253

medicaidRatio 0.3023

uncompensatedCareAmount 4052.25

internsToBedsRatio 0.0451

vbpAdjustment 1.0021821642

hhrAdjustment 0.9935

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.253

medicaidRatio 0.3023

uncompensatedCareAmount 2357.49

internsToBedsRatio 0.0451

vbpAdjustment 1.008191622

hhrAdjustment 0.9938

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.253

medicaidRatio 0.2382

uncompensatedCareAmount 2357.49

internsToBedsRatio 0.0426

vbpAdjustment 1.008191622

hhrAdjustment 0.9938

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.253

medicaidRatio 0.2382

uncompensatedCareAmount 2357.49

internsToBedsRatio 0.0426

vbpAdjustment 1.008191622

hhrAdjustment 0.9938

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.282

medicaidRatio 0.2382

uncompensatedCareAmount 2357.49

internsToBedsRatio 0.0426

vbpAdjustment 1.008191622

hhrAdjustment 0.9938

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.282

medicaidRatio 0.2382

uncompensatedCareAmount 2357.49

internsToBedsRatio 0.0426

vbpAdjustment 1.008191622

hhrAdjustment 0.9938

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.282

medicaidRatio 0.2382

uncompensatedCareAmount 1413.39

internsToBedsRatio 0.0426

vbpAdjustment 0.9998510527

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.282

medicaidRatio 0.247

uncompensatedCareAmount 1413.39

internsToBedsRatio 0.038

vbpAdjustment 0.9998510527

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.282

medicaidRatio 0.247

uncompensatedCareAmount 1413.39

internsToBedsRatio 0.038

vbpAdjustment 0.9998510527

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.346

medicaidRatio 0.247

uncompensatedCareAmount 1413.39

internsToBedsRatio 0.038

vbpAdjustment 0.9998510527

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.346

medicaidRatio 0.247

uncompensatedCareAmount 1413.39

internsToBedsRatio 0.038

vbpAdjustment 0.9998510527

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.346

medicaidRatio 0.247

uncompensatedCareAmount 1094.07

internsToBedsRatio 0.038

hhrAdjustment 0.9978

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.346

medicaidRatio 0.2756

uncompensatedCareAmount 1094.07

internsToBedsRatio 0.0373

hhrAdjustment 0.9978

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.346

medicaidRatio 0.2756

uncompensatedCareAmount 1094.07

internsToBedsRatio 0.0373

hhrAdjustment 0.9978

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.309

medicaidRatio 0.2756

uncompensatedCareAmount 1094.07

internsToBedsRatio 0.0373

hhrAdjustment 0.9978

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.309

medicaidRatio 0.2756

uncompensatedCareAmount 1094.07

internsToBedsRatio 0.0356

hhrAdjustment 0.9978

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.309

medicaidRatio 0.2756

uncompensatedCareAmount 989.59

internsToBedsRatio 0.0356

hhrAdjustment 0.993

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.309

medicaidRatio 0.2854

uncompensatedCareAmount 989.59

internsToBedsRatio 0.0356

hhrAdjustment 0.993

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.258

medicaidRatio 0.2854

uncompensatedCareAmount 989.59

internsToBedsRatio 0.0356

hhrAdjustment 0.993

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.258

medicaidRatio 0.2854

uncompensatedCareAmount 989.59

internsToBedsRatio 0.0356

hhrAdjustment 0.993

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.258

medicaidRatio 0.2854

uncompensatedCareAmount 989.59

internsToBedsRatio 0.0356

hhrAdjustment 0.993

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.258

medicaidRatio 0.2854

uncompensatedCareAmount 989.59

internsToBedsRatio 0.0356

hhrAdjustment 0.993

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.258

medicaidRatio 0.2854

uncompensatedCareAmount 1988.63

internsToBedsRatio 0.0356

hhrAdjustment 0.9944

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.258

medicaidRatio 0.2854

uncompensatedCareAmount 1988.63

internsToBedsRatio 0.0356

hhrAdjustment 0.9944

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.258

medicaidRatio 0.2854

uncompensatedCareAmount 1988.63

internsToBedsRatio 0.0356

hhrAdjustment 0.9944

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.246

medicaidRatio 0.2854

uncompensatedCareAmount 1988.63

internsToBedsRatio 0.0356

hhrAdjustment 0.9944

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.246

medicaidRatio 0.3346

uncompensatedCareAmount 1988.63

internsToBedsRatio 0.0346

hhrAdjustment 0.9944

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.246

medicaidRatio 0.3346

uncompensatedCareAmount 2229.41

internsToBedsRatio 0.0346

vbpAdjustment 0.9989576459

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.246

medicaidRatio 0.3185

uncompensatedCareAmount 2229.41

internsToBedsRatio 0.0334

vbpAdjustment 0.9989576459

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.246

medicaidRatio 0.3185

uncompensatedCareAmount 2229.41

internsToBedsRatio 0.0334

vbpAdjustment 0.9989576459

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.27

medicaidRatio 0.3185

uncompensatedCareAmount 2229.41

internsToBedsRatio 0.0334

vbpAdjustment 0.9989576459

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.27

medicaidRatio 0.3185

uncompensatedCareAmount 2229.41

internsToBedsRatio 0.0334

vbpAdjustment 0.9989576459

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.27

medicaidRatio 0.3185

uncompensatedCareAmount 2229.41

internsToBedsRatio 0.0334

vbpAdjustment 0.9989576459

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.27

medicaidRatio 0.3185

uncompensatedCareAmount 1884.19

internsToBedsRatio 0.0334

vbpAdjustment 0.9947428752

hhrAdjustment 0.9973

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.27

medicaidRatio 0.3185

uncompensatedCareAmount 1884.19

internsToBedsRatio 0.0334

vbpAdjustment 0.9947428752

hhrAdjustment 0.9973

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.27

medicaidRatio 0.3185

uncompensatedCareAmount 1884.19

internsToBedsRatio 0.0334

vbpAdjustment 0.9947428752

hhrAdjustment 0.9973

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.27

medicaidRatio 0.3004

uncompensatedCareAmount 1884.19

internsToBedsRatio 0.029

vbpAdjustment 0.9947428752

hhrAdjustment 0.9973

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.27

medicaidRatio 0.3004

uncompensatedCareAmount 1884.19

internsToBedsRatio 0.029

vbpAdjustment 0.9947428752

hhrAdjustment 0.9973

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.262

medicaidRatio 0.3004

uncompensatedCareAmount 1884.19

internsToBedsRatio 0.029

vbpAdjustment 0.9947428752

hhrAdjustment 0.9973

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 17

caseMixIndex 1.1442

operatingCostToChargeRatio 0.262

medicaidRatio 0.3004

uncompensatedCareAmount 1374.19

internsToBedsRatio 0.029

vbpAdjustment 0.9923482096

hhrAdjustment 0.9958

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 00

caseMixIndex 1.1442

operatingCostToChargeRatio 0.262

medicaidRatio 0.3004

uncompensatedCareAmount 1374.19

internsToBedsRatio 0.029

vbpAdjustment 0.9923482096

hhrAdjustment 0.9958

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 00

caseMixIndex 1.1442

operatingCostToChargeRatio 0.262

medicaidRatio 0.3004

uncompensatedCareAmount 1374.19

internsToBedsRatio 0.029

vbpAdjustment 0.9923482096

hhrAdjustment 0.9958

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 00

caseMixIndex 1.1442

operatingCostToChargeRatio 0.262

medicaidRatio 0.3004

uncompensatedCareAmount 1374.19

internsToBedsRatio 0.029

vbpAdjustment 0.9923482096

hhrAdjustment 0.9958

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 00

caseMixIndex 1.1442

operatingCostToChargeRatio 0.262

medicaidRatio 0.3004

uncompensatedCareAmount 1374.19

internsToBedsRatio 0.029

vbpAdjustment 0.9923482096

hhrAdjustment 0.9958

censusDivision 3

cbsaActualGeographicLocation 10500

providerType 00

caseMixIndex 1.1442

operatingCostToChargeRatio 0.262

medicaidRatio 0.3004

uncompensatedCareAmount 1374.19

internsToBedsRatio 0.029

vbpAdjustment 0.9923482096

hhrAdjustment 0.9958

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.121

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.121

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.176

deviceCostToChargeRatio 0.153

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.176

deviceCostToChargeRatio 0.153

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.181

deviceCostToChargeRatio 0.213

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.181

deviceCostToChargeRatio 0.213

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.164

deviceCostToChargeRatio 0.164

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.164

deviceCostToChargeRatio 0.164

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.174

deviceCostToChargeRatio 0.181

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.174

deviceCostToChargeRatio 0.181

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.174

deviceCostToChargeRatio 0.181

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.163

deviceCostToChargeRatio 0.187

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.163

deviceCostToChargeRatio 0.187

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.188

deviceCostToChargeRatio 0.17

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.188

deviceCostToChargeRatio 0.17

specialPaymentIndicator D

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.188

deviceCostToChargeRatio 0.17

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.188

deviceCostToChargeRatio 0.17

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.183

deviceCostToChargeRatio 0.211

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 17

operatingCostToChargeRatio 0.183

deviceCostToChargeRatio 0.211

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 00

operatingCostToChargeRatio 0.183

deviceCostToChargeRatio 0.211

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 00

operatingCostToChargeRatio 0.183

deviceCostToChargeRatio 0.211

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 00

operatingCostToChargeRatio 0.183

deviceCostToChargeRatio 0.211

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 10500

providerType 00

operatingCostToChargeRatio 0.208

deviceCostToChargeRatio 0.173

specialPaymentIndicator

carrierCode 10212

localityCode 99

PHOEBE PUTNEY MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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