SELECT SPECIALTY HOSPITAL - ARIZONA INC NPI 1902802861

NPI Information

NPI: 1902802861
Provider Name: SELECT SPECIALTY HOSPITAL - ARIZONA INC

Doing Business As: SELECT SPECIALTY HOSPITAL - ARIZONA

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization
Address:
1012 E WILLETTA ST
4TH FLOOR
PHOENIX, AZ
ZIP 85006
Phone: (480) 675-6016
Get Directions

SELECT SPECIALTY HOSPITAL - ARIZONA 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 - ARIZONA INC NPI is 1902802861. The provider is registered as an organization entity type.
The provider Is Doing Business As Select Specialty Hospital - Arizona.

The provider's business location address is:

1012 E WILLETTA ST
4TH FLOOR
PHOENIX, AZ
ZIP 85006-749
Phone: (480) 675-6016

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 enumeration date for this NPI number is 6/24/2005 and was last updated on 7/15/2016.

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	License Number	License State	Primary
1	282E00000X	Long Term Care Hospital	SH3050	ARIZONA	No
2	282E00000X	Long Term Care Hospital	SH3047	ARIZONA	No
3	282E00000X	Long Term Care Hospital	SH2354	ARIZONA	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	AZ0208080	OTHER	ARIZONA	BCBS AZ (SCOTTSDALE)
2	032005	MEDICARE OSCAR/CERTIFICATION	ARIZONA
3	IZ0120	OTHER	ARIZONA	HEALTHNET
4	AZ0207750	OTHER	ARIZONA	BCBS AZ
5	707721	MEDICAID	ARIZONA
6	486028	MEDICAID	ARIZONA
7	AZ0208070	OTHER	ARIZONA	BCBS AZ (PHOENIX DTOWN)
8	707739	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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