NPIMap

Organization Active NPI

Southwestern State Hospital Community Services

  • Mental Illness Community Based Residential Treatment Facility
  • Thomasville, GA
National Provider Identifier
1013044841
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
581130678 Issued in GA
Legal business name
SOUTHWESTERN STATE HOSPITAL COMMUNITY SERVICES
Practice address
400 S Pinetree Blvd
Business Office - Patient Billing Dept
Thomasville, GA 31792-7128
Phone
(229) 227-2977
Fax
(229) 227-2955
NPI assigned
Feb 28, 2007
Last updated
Aug 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Hilary J Hoo-You
Title
Regional Hospital Administrator
Phone
(229) 227-3020

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 581130678 GA Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 581130678 GA
Children's Substance Abuse Rehabilitation Facility 3245S0500X 581130678 GA

Addresses

Primary practice location

400 S Pinetree Blvd
Business Office - Patient Billing Dept
Thomasville, GA 31792-7128

Mailing address

PO Box 1378
Business Office - Patient Billing Dept
Thomasville, GA 31799-1378
Phone (229) 227-2977

National Provider Directory

National Provider Directory
Tax ID family
Department of Behavioral Health Developmental Disabilities Ga53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

400 S Pinetree Blvd
Ofc
Thomasville, GA 31792

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1013044841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1378",
            "address_2": "BUSINESS OFFICE - PATIENT BILLING DEPT",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317991378",
            "telephone_number": "229-227-2977",
            "fax_number": "229-227-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S PINETREE BLVD",
            "address_2": "BUSINESS OFFICE - PATIENT BILLING DEPT",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317927128",
            "telephone_number": "229-227-2977",
            "fax_number": "229-227-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN STATE HOSPITAL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "HOO-YOU",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGIONAL HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "229-227-3020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "GA",
            "license": "581130678",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "581130678",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "GA",
            "license": "581130678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.