SOUTHWESTERN STATE HOSPITAL COMMUNITY SERVICES - NPI 1013044841 - Community Based Residential Treatment Facility, Mental Illness in Thomasville, GA

Q: What is Southwestern State Hospital Community Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

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About Southwestern State Hospital Community Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWESTERN STATE HOSPITAL COMMUNITY SERVICES (NPI 1013044841) is a healthcare organization registered as a community based residential treatment facility, mental illness in Thomasville, Georgia and active in the NPI registry since February 2007. The organization lists Hilary J Hoo-you, Regional Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1013044841

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameSOUTHWESTERN STATE HOSPITAL COMMUNITY SERVICES

Location Address400 S PINETREE BLVD, BUSINESS OFFICE - PATIENT BILLING DEPTThomasville, GA 31792-7128

Mailing AddressPo Box 1378, Business Office - Patient Billing DeptThomasville, GA 31799-1378 · (229) 227-2977 · Fax (229) 227-2955

Phone(229) 227-2977

Fax(229) 227-2955

Organization SubpartNo

Authorized OfficialHilary J Hoo-youRegional Hospital Administrator · (229) 227-3020

Enumeration DateFebruary 28, 2007

Last NPPES UpdateAugust 21, 2009

✔ NPI 1013044841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in GA · 581130678

Definition

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

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License 581130678 (GA)

Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X · License 581130678 (GA)

400 S PINETREE BLVD, Thomasville, GA 31792

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS GABRIEL HOTARD I

Dentist

400 S PINETREE BLVD, DENTAL CLINIC, BLDG. 510
THOMASVILLE, GA 31792

Thomas County (229) 227-2817

DR. JAIRAM LONKANI M.D.

Family Medicine

400 S PINETREE BLVD, PATIENT BILLING DEPT
THOMASVILLE, GA 31792

Thomas County (229) 227-2977

DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES

Psychiatric Hospital

400 S PINETREE BLVD, PATIENT BILLING DEPT
THOMASVILLE, GA 31792

Thomas County (229) 227-3004

DR. PAMELA ANN CARTER M.D.

Psychiatry & Neurology (Psychiatry)