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NPI Code Detail

MEDICARE: SELECT SPECIALTY HOSPITAL - TUCSON, LLC

MEDICARE: SELECT SPECIALTY HOSPITAL - TUCSON, LLC
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
1282E00000XLong Term Care Hospital

General Provider Information

NPI Number : 1104490341
Entity Type Code : Organization
Provider Name (Legal Business Name) : SELECT SPECIALTY HOSPITAL - TUCSON, LLC
Provider Business Mailing Address
First Line : 4714 GETTYSBURG RD
Second Line : LEGAL DEPT
City : MECHANICSBURG
State : PA
Zip : 17055
Country : US
Telephone Number : 717-972-1100
Fax Number :
Provider Business Practice Location Address
First Line : 355 N WILMOT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85711-2601
Country : US
Telephone Number : 717-972-1100
Fax Number :
Authorized Official
Title or Position : VP
Name : MICHAEL TARVIN
Credential :
Telephone Number : 717-975-4503
Provider Enumeration Date : 05/13/2021
Last Update Date : 05/13/2021

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