MEDICARE: SOUTHWOOD PSYCHIATRIC HOSPITAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	424130	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	040679A324171	OTHER	PA	VBH PA FAMILY BASED
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760567655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWOOD PSYCHIATRIC HOSPITAL, LLC

Provider Business Mailing Address
First Line	:	4020 ASPEN GROVE DR STE 900
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-3134
Country	:	US
Telephone Number	:	615-861-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	443 CHESS ST
Second Line	:
City	:	BRIDGEVILLE
State	:	PA
Zip	:	15017-1955
Country	:	US
Telephone Number	:	412-206-0176
Fax Number	:	412-206-0170

Authorized Official
Title or Position	:	VICE PRESIDENT AND SECRETARY
Name	:	BRIAN P FARLEY
Credential	:
Telephone Number	:	615-861-6000

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	01/20/2026

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