Healthcare Provider Details

I. General information

NPI: 1700886652
Provider Name (Legal Business Name): SELECT SPECIALTY HOSPITAL - KALAMAZOO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 NORTH AVE UNITS 6100A HALL AND 6200B HALL
BATTLE CREEK MI
49017-3307
US

IV. Provider business mailing address

4714 GETTYSBURG RD LEGAL DEPT.
MECHANICSBURG PA
17055-4325
US

V. Phone/Fax

Practice location:
  • Phone: 269-341-7137
  • Fax: 269-341-7153
Mailing address:
  • Phone: 717-972-1100
  • Fax: 717-975-9981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number390032
License Number StateMI

VIII. Authorized Official

Name: MR. JIOHN DUGGAN
Title or Position: VICE PRESIDENT
Credential:
Phone: 717-972-1100