1891788097 SOUTHWESTERN STATE HOSPITAL
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- SOUTHWESTERN STATE HOSPITAL
- Enumeration Date
- August 24, 2005
- Last Update
- August 22, 2020
- Authorized Official
- MRS. BEVERLY B. BAJERSKI
REGIONAL HOSPITAL ADMINISTRATOR
Phone: (229) 227-3021
Practice Location
- Address
- 113 COVE LANDING DR
COMMUNITY MEDICAID WAIVER HOME
THOMASVILLE, GA 317923884 - Phone
- (229) 227-2977
- Fax
- (229) 227-2955
Mailing Address
- Address
- PO BOX 1378
PATIENT BILLING DEPT
THOMASVILLE, GA 317991378 - Phone
- (229) 227-2977
- Fax
- (229) 227-2955
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 | N/A | GA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00887236A | 05 | GA | N/A |
Frequently Asked Questions
What is SOUTHWESTERN STATE HOSPITAL's NPI number?
SOUTHWESTERN STATE HOSPITAL's NPI number is 1891788097.
Which doctor has NPI number 1891788097?
The doctor with NPI number 1891788097 is SOUTHWESTERN STATE HOSPITAL.
What is SOUTHWESTERN STATE HOSPITAL's practice address?
SOUTHWESTERN STATE HOSPITAL's practice address is 113 COVE LANDING DR, COMMUNITY MEDICAID WAIVER HOME, THOMASVILLE, GA, 317923884.
Which doctor practices at 113 COVE LANDING DR, COMMUNITY MEDICAID WAIVER HOME, THOMASVILLE, GA, 317923884?
SOUTHWESTERN STATE HOSPITAL practices at 113 COVE LANDING DR, COMMUNITY MEDICAID WAIVER HOME, THOMASVILLE, GA, 317923884.
What is SOUTHWESTERN STATE HOSPITAL's mailing address?
SOUTHWESTERN STATE HOSPITAL's mailing address is PO BOX 1378, PATIENT BILLING DEPT, 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 1891788097 still active?
Yes, NPI 1891788097 is currently active.
Where does SOUTHWESTERN STATE HOSPITAL practice?
SOUTHWESTERN STATE HOSPITAL practices in THOMASVILLE, GA.