1518049675 SOUTHWESTERN STATE HOSPITAL

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Active

Basic Information

Organization Name
SOUTHWESTERN STATE HOSPITAL
Enumeration Date
October 19, 2006
Last Update
August 18, 2009
Authorized Official
MRS. HILARY J. HOO-YOU
REGIONAL HOSPITAL ADMINISTRATOR
Phone: (229) 227-3021

Practice Location

Address
130 COVE LANDING DR
COMMUNITY MEDICAID WAIVER HOME
THOMASVILLE, GA 317923883
Phone
(229) 227-2977
Fax
(229) 227-2955

Mailing Address

Address
PO BOX 1378
PATIENT BILLING DEPARTMENT
THOMASVILLE, GA 317991378
Phone
(229) 227-2977
Fax
(229) 227-2663

Specialties & Taxonomies

Specialty Code Classification License State Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 136-01-076-1 GA Primary

Other Identifiers

Identifier Type State Issuer
00877236A 05 GA N/A

Frequently Asked Questions

What is SOUTHWESTERN STATE HOSPITAL's NPI number?
SOUTHWESTERN STATE HOSPITAL's NPI number is 1518049675.
Which doctor has NPI number 1518049675?
The doctor with NPI number 1518049675 is SOUTHWESTERN STATE HOSPITAL.
What is SOUTHWESTERN STATE HOSPITAL's practice address?
SOUTHWESTERN STATE HOSPITAL's practice address is 130 COVE LANDING DR, COMMUNITY MEDICAID WAIVER HOME, THOMASVILLE, GA, 317923883.
Which doctor practices at 130 COVE LANDING DR, COMMUNITY MEDICAID WAIVER HOME, THOMASVILLE, GA, 317923883?
SOUTHWESTERN STATE HOSPITAL practices at 130 COVE LANDING DR, COMMUNITY MEDICAID WAIVER HOME, THOMASVILLE, GA, 317923883.
What is SOUTHWESTERN STATE HOSPITAL's mailing address?
SOUTHWESTERN STATE HOSPITAL's mailing address is PO BOX 1378, PATIENT BILLING DEPARTMENT, THOMASVILLE, GA, 317991378.
What is SOUTHWESTERN STATE HOSPITAL's phone number?
SOUTHWESTERN STATE HOSPITAL's phone number is (229) 227-2977.
Who is (229) 227-2977?
(229) 227-2977 is the phone number for SOUTHWESTERN STATE HOSPITAL.
What is SOUTHWESTERN STATE HOSPITAL's specialty?
SOUTHWESTERN STATE HOSPITAL's specialty is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
What type of doctor is SOUTHWESTERN STATE HOSPITAL?
SOUTHWESTERN STATE HOSPITAL is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
Is SOUTHWESTERN STATE HOSPITAL a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, SOUTHWESTERN STATE HOSPITAL is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is SOUTHWESTERN STATE HOSPITAL still practicing?
Yes, SOUTHWESTERN STATE HOSPITAL is currently practicing.
Is SOUTHWESTERN STATE HOSPITAL accepting new patients?
SOUTHWESTERN STATE HOSPITAL may be accepting new patients. Please call their office at (229) 227-2977 to inquire about availability.
Is NPI 1518049675 still active?
Yes, NPI 1518049675 is currently active.
Where does SOUTHWESTERN STATE HOSPITAL practice?
SOUTHWESTERN STATE HOSPITAL practices in THOMASVILLE, GA.