Healthcare Provider Details

I. General information

NPI: 1427154178
Provider Name (Legal Business Name): SELECT SPECIALTY HOSPITAL - TULSA MIDTOWN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 WEST 9TH STREET 5TH AND 6TH FLOORS
TULSA OK
74127
US

IV. Provider business mailing address

4714 GETTYSBURG ROAD LEGAL DEPARTMENT
MECHANICSBURG PA
17055
US

V. Phone/Fax

Practice location:
  • Phone: 918-579-7301
  • Fax: 918-579-7354
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 Number2328
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number2328
License Number StateOK

VIII. Authorized Official

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