SOUTHWESTERN STATE HOSPITAL – NPI #1285627448
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

SOUTHWESTERN STATE HOSPITAL is a community based residential treatment facility located in THOMASVILLE, GA. NPPES has assigned the NPI number 1285627448 to SOUTHWESTERN STATE HOSPITAL on August 23, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 17 years ago on Aug 18, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHWESTERN STATE HOSPITAL below.

NPI Profile for
SOUTHWESTERN STATE HOSPITAL

NPI Number
1285627448
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHWESTERN STATE HOSPITAL
Primary location
210 LOOMIS STREET
INTEGRATION HOME
THOMASVILLE, GA 31792
Phone: (229) 227-3004 Fax: (227) 227-2663
Mailing address
PO BOX 1378
PATIENT BILLING DEPT
THOMASVILLE, GA 31799-1378
Phone: (229) 227-3004 Fax: (229) 227-2663
Organization Subpart
No
Authorized Official
HILARY HOO-YOU
REGIONAL HOSPITAL ADMINISTRATOR
Phone: (229) 227-3021
Updated
Identifiers

Identifiers for SOUTHWESTERN STATE HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA647660886A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
GA 136-01-092-8

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.