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SELECT SPECIALTY HOSPITAL - PHOENIX INC NPI 1891795415


NPI Information

NPI: 1891795415
Provider Name: SELECT SPECIALTY HOSPITAL - PHOENIX INC
Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 03D0871771

Address:
350 W THOMAS RD
3RD FLR
PHOENIX, AZ
ZIP 85013
Phone: (602) 406-6802
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SELECT SPECIALTY HOSPITAL - PHOENIX INC is a long term care hospital in Phoenix, AZ. 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 - PHOENIX INC NPI is 1891795415. The provider is registered as an organization entity type.

The provider's business location address is:

350 W THOMAS RD
3RD FLR
PHOENIX, AZ
ZIP 85013-409
Phone: (602) 406-6802
Fax: (602) 406-6891

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 03D0871771 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2005 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 HospitalSH190ARIZONAYes

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
1AZ0205610OTHERARIZONABCBS AZ
2459835MEDICAIDARIZONA
3IZ0120OTHERARIZONAHEALTHNET
4032001MEDICARE OSCAR/CERTIFICATIONARIZONA

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.