Southwestern State Hospital in Thomasville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Southwestern State Hospital - NPI 1568662468
Southwestern State Hospital is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Thomasville, Georgia. Southwestern State Hospital practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Southwestern State Hospital is 1568662468. The last update date is 2007-07-19.
Southwestern State Hospital's current location address is Po Box 1378, Thomasville, Georgia. You can contact this provider via phone number 2292272977 and fax number 2292272955. The mailing address for Southwestern State Hospital is Po Box 1378, Thomasville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwestern State Hospital |
|---|---|
| Address | Po Box 1378, Thomasville, Georgia |
| Phone Number | 2292272977 |
| Fax Number | 2292272955 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REGIONAL H |
|---|---|
| Authorized Official Name | Bajerski B. Beverly |
| Telephone Number | 2292273021 |
NPI Number Detail
| NPI Number | 1568662468 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2007-07-19 |
Provider Mailing Address Detail
| Address | Po Box 1378 |
|---|---|
| City | Thomasville |
| State | Georgia (GA) |
| Post Code | 317991378 |
| Phone Number | 2292272977 |
| Fax Number | 2292272955 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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Post Comment/ Review Below
What is the unique identifier code issued to Southwestern State Hospital by the Centers for Medicare & Medicaid Services?
The Southwestern State Hospital has been assigned the NPI (National Provider Identifier) 1568662468. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Southwestern State Hospital?
The Southwestern State Hospital is situated at Po Box 1378, in the city of Thomasville, state of GA, with the zip code 317991378.
What is Southwestern State Hospital's specialized field of practice, and what is the corresponding taxonomy classification code?
The Southwestern State Hospital's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568662468 to Southwestern State Hospital?
The Centers for Medicare & Medicaid Services assigned the 1568662468 to Southwestern State Hospital on 2007-07-19.
As of what date were the details pertaining to Southwestern State Hospital last refreshed?
The information related to the Southwestern State Hospital, including its address, specialty, and other relevant details, was last updated on 2007-07-19.
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