Southwestern State Hospital

LBN: Southwestern State Hospital
Southwestern State Hospital is an health care organization with primary practice located at 1217 Old Albany Rd Gateway Substance Abuse Day Program, Thomasville GA 31792-3552. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Southwestern State Hospital can be contacted via phone (229) 227-3004, or through Hoo-You, Hilary J via phone (229) 227-3021.

Contact Information

Primary practice address
1217 Old Albany Rd Gateway Substance Abuse Day Program Thomasville GA 31792-3552
Phone: (229) 227-3004
Fax: (229) 227-2663
Website:
Map and Directions
Authorized official contact:
Name: Hoo-You, Hilary J
Phone: (229) 227-3021

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 58-1130678 Georgia

Profile Details

NPI number 1417940651
LBN Legal business name Southwestern State Hospital
DBA Doing business as
Authorized official Hoo-You, Hilary J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2005
Last updated Aug 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417940651 NPPES
Georgia MEDICAID 989865437A

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