MEDICARE: SELECT MEDICAL CARE INC.

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	251E00000X	Home Health Agency	PENDING	OK

General Provider Information

NPI Number	:	1174651558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELECT MEDICAL CARE INC.

Provider Business Mailing Address
First Line	:	5801 W. BRITTON RD.
Second Line	:	SUITE J
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-2404
Country	:	US
Telephone Number	:	405-470-4455
Fax Number	:

Provider Business Practice Location Address
First Line	:	5801 W. BRITTON RD.
Second Line	:	SUITE J
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-2404
Country	:	US
Telephone Number	:	405-470-4455
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. DONALD RAY CHADWELL
Credential	:	M.D.
Telephone Number	:	405-470-4455

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	08/22/2020

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