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SELECT SPECIALTY HOSPITAL - MADISON INC NPI 1679521868


NPI Information

NPI: 1679521868
Provider Name: SELECT SPECIALTY HOSPITAL - MADISON INC
Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 36D1015027

Address:
801 BRAXTON PLACE
MADISON, WI
ZIP 43701
Phone: (608) 256-9353
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SELECT SPECIALTY HOSPITAL - MADISON INC is a long term care hospital in Madison, WI. 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 - MADISON INC NPI is 1679521868. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

801 BRAXTON PLACE
MADISON, WI
ZIP 43701
Phone: (608) 256-9353
Fax: (608) 256-9404

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 36D1015027 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 5/24/2011.


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
1207R00000XInternal MedicineNo
2282E00000XLong Term Care HospitalYes

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
1522008MEDICARE OSCAR/CERTIFICATIONWISCONSIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.