Assertive Community Treatment Program

LBN: Southwestern State Hospital
Assertive Community Treatment Program is an health care organization with primary practice located at 334 Tifton Eldorado Rd , Tifton GA 31794-9497. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Southwestern State Hospital can be contacted via phone (229) 227-2977, or through Hoo-You, Hilary J via phone (229) 227-3020.

Contact Information

Primary practice address
334 Tifton Eldorado Rd Tifton GA 31794-9497
Fax: (229) 227-2955
Website:
Authorized official contact:
Name: Hoo-You, Hilary J

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 581130678 Georgia

Profile Details

NPI number 1720156508
LBN Legal business name Southwestern State Hospital
DBA Doing business as Assertive Community Treatment Program
Authorized official Hoo-You, Hilary J
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Aug 18th, 2009 - about 15 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 1720156508 NPPES
Georgia MEDICAID 00877236H

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