SOUTHWESTERN STATE HOSPITAL
NPI 1578758918
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Thomasville, GA

NPI Status: Active since September 10, 2007

Contact Information

8 BELMONT DR
COMMUNITY MEDICAID WAIVER HOME MRWP
THOMASVILLE, GA
ZIP 31792
Phone: (229) 227-2977
Fax: (229) 227-2955

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About SOUTHWESTERN STATE HOSPITAL

This page provides the complete NPI Profile along with additional information for Southwestern State Hospital, a provider established in Thomasville, Georgia operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1578758918 assigned on September 2007. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mrs. Beverly B. Bajerski (Regional Hospital Administrator)

NPI
1578758918
Provider Name
SOUTHWESTERN STATE HOSPITAL
Entity Type
Organization
Location Address
8 BELMONT DR COMMUNITY MEDICAID WAIVER HOME MRWP THOMASVILLE, GA 31792
Location Phone
(229) 227-2977
Location Fax
(229) 227-2955
Mailing Address
PO BOX 1378 PATIENT BILLING DEPT THOMASVILLE, GA 31799
Mailing Phone
(229) 227-2977
Mailing Fax
(229) 227-2955
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-10-2007
Last Update Date
09-10-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License State
GA
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. BEVERLY B. BAJERSKI

Authorized Official Title
REGIONAL HOSPITAL ADMINISTRATOR
Authorized Official Phone
(229) 227-3020

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578758918
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251481451692
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 4 + 5 + 1 + 6 + 9 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1578758918 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871675934SOUTHWESTERN STATE HOSPITAL
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities8 BELMONT DR COMMUNITY MEDICAID WAIVER HOME CHSS
THOMASVILLE, GA 31792
(229) 227-2977

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578758918, enumerated in the NPI registry as an "organization" on September 10, 2007

The provider is located at 8 Belmont Dr Community Medicaid Waiver Home Mrwp Thomasville, Ga 31792 and the phone number is (229) 227-2977

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

This NPI record was last updated on September 10, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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