SELECT SPECIALTY HOSPITAL - JACKSON INC NPI 1255330163

NPI Information

  • NPI: 1255330163
  • Provider Name: SELECT SPECIALTY HOSPITAL - JACKSON INC
  • Classification: Long Term Care Hospital - 282E00000X
  • Entity Type: Organization
  • CLIA Number: 25D1000486
  • Address: 5903 RIDGEWOOD RD
    JACKSON, MS
    ZIP 39211
  • Phone: (601) 376-1099

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NPI Details

SELECT SPECIALTY HOSPITAL - JACKSON INC is a long term care hospital in Jackson, MS. 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 - JACKSON INC NPI is 1255330163. The provider is registered as an organization entity type.

The provider's business location address is:

5903 RIDGEWOOD RD
JACKSON, MS
ZIP 39211-700
Phone: (601) 376-1099
Fax: (601) 376-1013

The provider's authorized official is John Duggan .
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 25D1000486 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/21/2005 and was last updated on 9/10/2025.

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
1282E00000XLong Term Care Hospital22331MISSISSIPPIYes

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
120467OTHERMISSISSIPPIBCBS MS

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: 11/21/2025

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