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NPI Code Detail

MEDICARE: SELECT SPECIALTY HOSPITAL - LONGVIEW INC

MEDICARE: SELECT SPECIALTY HOSPITAL - LONGVIEW 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
1282E00000XLong Term Care Hospital007946TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HH1085OTHERTXBCBS TX

General Provider Information

NPI Number : 1861492670
Entity Type Code : Organization
Provider Name (Legal Business Name) : SELECT SPECIALTY HOSPITAL - LONGVIEW 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 : 700 E MARSHALL AVE
Second Line : 1ST AND GROUND FL. WEST
City : LONGVIEW
State : TX
Zip : 75601-5580
Country : US
Telephone Number : 903-315-1105
Fax Number : 903-315-1112
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. MICHAEL E. TARVIN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 07/22/2005
Last Update Date : 09/02/2010

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

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