MEDICARE: SELECT SPECIALTY HOSPITAL - KALAMAZOO 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	390032	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09327	OTHER	MI	BCBS MI

General Provider Information

NPI Number	:	1700886652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELECT SPECIALTY HOSPITAL - KALAMAZOO 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	:	300 NORTH AVE
Second Line	:	UNITS 6100A HALL AND 6200B HALL
City	:	BATTLE CREEK
State	:	MI
Zip	:	49017-3307
Country	:	US
Telephone Number	:	269-341-7137
Fax Number	:	269-341-7153

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

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

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