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SELECT SPECIALTY HOSPITAL - EVANSVILLE LLC NPI 1750380739


NPI Information

NPI: 1750380739
Provider Name: SELECT SPECIALTY HOSPITAL - EVANSVILLE LLC
Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 15D0915125

Address:
400 SE 4TH STREET
EVANSVILLE, IN
ZIP 47713
Phone: (812) 450-5254
Get Directions

SELECT SPECIALTY HOSPITAL - EVANSVILLE LLC is a long term care hospital in Evansville, IN. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. SELECT SPECIALTY HOSPITAL - EVANSVILLE LLC NPI is 1750380739. The provider is registered as an organization entity type.

The provider's business location address is:

400 SE 4TH STREET
EVANSVILLE, IN
ZIP 47713
Phone: (812) 450-5254
Fax: (812) 450-5272

The provider's authorized official is Michael E. Tarvin .
The authorized official title is Vice President and has the following contact phone number (717) 972-1100.

The CLIA number assigned to this NPI record is 15D0915125 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 9/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282E00000XLong Term Care Hospital0094433INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000098306OTHERINDIANABCBS IN
2IN-200107080AMEDICAIDINDIANA
3152014MEDICARE OSCAR/CERTIFICATIONINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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