MEDICARE: SELECT SPECIALTY HOSPITAL - JACKSON 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	282E00000X	Long Term Care Hospital	22331	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20467	OTHER	MS	BCBS MS

General Provider Information

NPI Number	:	1255330163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELECT SPECIALTY HOSPITAL - JACKSON INC

Provider Business Mailing Address
First Line	:	4714 GETTYSBURG RD
Second Line	:	LEGAL DEPT.
City	:	MECHANICSBURG
State	:	PA
Zip	:	17055-4325
Country	:	US
Telephone Number	:	717-972-1100
Fax Number	:	717-975-9981

Provider Business Practice Location Address
First Line	:	5903 RIDGEWOOD RD
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39211-3700
Country	:	US
Telephone Number	:	601-376-1099
Fax Number	:	601-376-1013

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. JOHN DUGGAN
Credential	:
Telephone Number	:	717-972-1100

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	09/10/2025

Similar Medicare Providers

1316050750 — DR. BABATUNDE OLUTADE MD
Practice Location Address:

5903 RIDGEWOOD RD , SUITE 340
JACKSON, MS
39211-3700

Practice Phone: 601-899-3340
Practice Fax: 601-899-3343

1629177415 — ANTHONY V. PARKINSON, D.C., LLC
Practice Location Address:

5903 RIDGEWOOD RD , SUITE 103
JACKSON, MS
39211-3700

Practice Phone: 601-899-3167
Practice Fax: 601-899-3914

1760576102 — DR. ANTHONY VINCENT PARKINSON D.C.
Practice Location Address:

5903 RIDGEWOOD RD , SUITE 103
JACKSON, MS
39211-3700

Practice Phone: 601-899-3167
Practice Fax: 601-899-3914

1215013818 — OJUS MALPHURS
Practice Location Address:

5903 RIDGEWOOD RD STE 102
JACKSON, MS
39211-3700

Practice Phone: 601-981-5887
Practice Fax:

1982818282 — JOE G. COLLINS, D.D.S., P.A.
Practice Location Address:

5903 RIDGEWOOD RD , SUITE 220
JACKSON, MS
39211-3700

Practice Phone: 601-899-3371
Practice Fax: 601-898-3993

1972706646 — ADVANCED DIAGNOSTIC PAIN CENTER, PLLC
Practice Location Address:

5903 RIDGEWOOD RD , 440
JACKSON, MS
39211-3700

Practice Phone: 601-899-3990
Practice Fax: 601-899-3920

Directions to “SELECT SPECIALTY HOSPITAL - JACKSON INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.