SELECT SPECIALTY HOSPITAL - NORTHEAST OHIO INC NPI 1174523666

NPI Information

NPI: 1174523666
Provider Name: SELECT SPECIALTY HOSPITAL - NORTHEAST OHIO INC
Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization
Address:
1320 MERCY DR NW
6TH FLOOR
CANTON, OH
ZIP 44708
Phone: (330) 344-1030
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SELECT SPECIALTY HOSPITAL - NORTHEAST OHIO INC is a long term care hospital in Canton, OH. 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 - NORTHEAST OHIO INC NPI is 1174523666. The provider is registered as an organization entity type.

The provider's business location address is:

1320 MERCY DR NW
6TH FLOOR
CANTON, OH
ZIP 44708-614
Phone: (330) 344-1030
Fax: (330) 344-6035

The provider's authorized official is Michael E. Tarvin .
The authorized official title is Vice President and has the following contact phone number (717) 972-1139.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 9/22/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282E00000X	Long Term Care Hospital		1421	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========008	OTHER	OHIO	MEDICAL MUTUAL OF OHIO
2	123635400	OTHER	OHIO	BLACK LUNG
3	2012968	MEDICAID	OHIO
4	000000157636	OTHER	OHIO	BCBS OH
5	362016	MEDICARE OSCAR/CERTIFICATION	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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