Southwestern State Hospital
LBN: Department Of Behavioral Health & Developmental Disabilities
Southwestern State Hospital is an health care organization with primary practice located at 213 N Martin Luther King Jr Dr Community Medicaid Waiver Home, Thomasville GA 31792-6320. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Department Of Behavioral Health & Developmental Disabilities can be contacted via phone (229) 227-2977, or through Hoo-You, Hilary J via phone (229) 227-3021.
Contact Information
Primary practice address
213 N Martin Luther King Jr Dr Community Medicaid Waiver Home
Thomasville GA 31792-6320
Phone: (229) 227-2977
Fax: (229) 227-2955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 136-01-076-1 | Georgia |
Profile Details
| NPI number | 1770665838 |
|---|---|
| LBN Legal business name | Department Of Behavioral Health & Developmental Disabilities |
| DBA Doing business as | Southwestern State Hospital |
| Authorized official | Hoo-You, Hilary J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Aug 19th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770665838 | NPPES |
| Georgia | MEDICAID | 000877236R |
Popular Providers
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Southwestern State Hospital
419 N Crawford St Community Medicaid Comp Waiver Home, Thomasville GA 31792-5128 -
The Homeplace Shelter Inc.
612 E Clay St , Thomasville GA 31792-4608 -
Southwestern State Hospital
213 N Martin Luther King Jr Dr Community Medicaid Waiver Home Mrwp, Thomasville GA 31792-6320 -
Department Of Behavioral Health & Developmental Disabilities
213 Martin Luke King Drive Community Medicaid Waiver Home, Thomasville GA 31792-6320 -
Southwestern State Hospital
309A Shoreline Dr Community Medicaid Comp Waiver Home, Thomasville GA 31757-2577 -
Southwestern State Hospital
8 Belmont Dr Community Medicaid Waiver Home Mrwp, Thomasville GA 31792-4725 -
Department Of Behavioral Health & Dev. Disabilities
309B Shoreline Dr Community Medicaid Comp Waiver Home, Thomasville GA 31757-2577 -
Southwestern State Hospital
114 Cove Landing Dr Community Medicaid Waiver Home Rts, Thomasville GA 31792-3883