Southwestern State Hospital in Thomasville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Southwestern State Hospital - NPI 1629150776
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 1629150776. The last update date is 2009-08-18.
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 | Hoo-You J. Hilary |
| Telephone Number | 2292273021 |
NPI Number Detail
| NPI Number | 1629150776 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2009-08-18 |
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 |
| Licence No | 136-01-076-1 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 304774584B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Southwestern State Hospital by the Centers for Medicare & Medicaid Services?
The Southwestern State Hospital has been issued the NPI (National Provider Identifier) 1629150776, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Southwestern State Hospital?
The Southwestern State Hospital is physically situated at Po Box 1378, in the city of Thomasville, state of GA, with the postal code 317991378.
What is Southwestern State Hospital's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Southwestern State Hospital is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629150776 to Southwestern State Hospital?
The Southwestern State Hospital received its 1629150776 assignment from the Centers for Medicare & Medicaid Services on 2006-10-19.
As of what date was the information regarding Southwestern State Hospital, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Southwestern State Hospital, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-08-18.