Organization
SOUTHWESTERN STATE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HILARY J HOO-YOU (REGIONAL HOSPITAL ADMINISTRATOR)
(229) 227-3020
Entity
Organization
Contact information
Practice address
309A SHORELINE DR, COMMUNITY MEDICAID COMP WAIVER HOME, THOMASVILLE, GA 31757-2577
(229) 227-2977
(229) 227-2955
Mailing address
PO BOX 1378, PATIENT BILLING DEPT, THOMASVILLE, GA 31799-1378
(229) 227-2977
(229) 227-2955
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
320900000X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304774584I
—
GA
Enumeration date
01/13/2009
Last updated
08/18/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us