MEDICARE: SISKIN HOSPITAL FOR PHYSICAL REHABILITATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283X00000X	Rehabilitation Hospital	67	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1000865	OTHER	TN	BLUE CROSS

General Provider Information

NPI Number	:	1356388227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SISKIN HOSPITAL FOR PHYSICAL REHABILITATION

Provider Business Mailing Address
First Line	:	1 SISKIN PLZ
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37403-1306
Country	:	US
Telephone Number	:	423-634-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 SISKIN PLZ
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37403-1306
Country	:	US
Telephone Number	:	423-634-1200
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT, FINANCE AND CFO
Name	:	CAROL ARNHART
Credential	:
Telephone Number	:	423-634-1587

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	08/11/2020

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Directions to “SISKIN HOSPITAL FOR PHYSICAL REHABILITATION ” Practice Location

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