Organization · NPI-2
Southwestern State Hospital
Community/Behavioral Health · Tifton, GA
NPI number1720156508
StatusActive
Last updated in NPPESAug 18, 2009
Details
- NPI
- 1720156508
- Entity type
- Organization (NPI-2)
- Legal business name
- Southwestern State Hospital
- Organization subpart
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Aug 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 581130678 | GA | Yes |
Other names
- Assertive Community Treatment Program (Doing Business As)
Practice location
334 Tifton Eldorado RdTifton, GA 31794-9497
Phone 229-227-2977 · Fax 229-227-2955
Mailing address
400 South Pinetree Blvd. P. O. Box 1378Patient Billing Dept
Thomasville, GA 31799-1378
Phone 229-227-2977 · Fax 229-227-2955
Authorized official
Hilary J Hoo-You
Regional Hospital Administrator
2292273020
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.