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SELECT SPECIALTY HOSPITAL - GULF COAST INC NPI 1518967280


NPI Information

NPI: 1518967280
Provider Name: SELECT SPECIALTY HOSPITAL - GULF COAST INC

Doing Business As: SELECT SPECIALTY HOSPITAL - GULF COAST

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 25D0968261

Address:
4500 13TH ST FL 3
GULFPORT, MS
ZIP 39501
Phone: (228) 523-4820
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SELECT SPECIALTY HOSPITAL - GULF COAST INC is a long term care hospital in Gulfport, 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 - GULF COAST INC NPI is 1518967280. The provider is registered as an organization entity type.
The provider Is Doing Business As Select Specialty Hospital - Gulf Coast.

The provider's business location address is:

4500 13TH ST FL 3
GULFPORT, MS
ZIP 39501-515
Phone: (228) 523-4820
Fax: (228) 867-4830

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 25D0968261 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 5/18/2021.


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 Hospital22 326 SMISSISSIPPIYes

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
120236OTHERMISSISSIPPIBCBS 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: 4/28/2024

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