MEDICARE: SELECT SPECIALTY HOSPITAL - COLUMBUS 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	1456	OH
2	282E00000X	Long Term Care Hospital	1429	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100000053731	OTHER	OH	BCBS OH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	25181623005	OTHER	OH	MEDICAL MUTUAL OF OH
4	000000153731	OTHER	OH	BCBS OH

General Provider Information

NPI Number	:	1871592386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELECT SPECIALTY HOSPITAL - COLUMBUS 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	:	1087 DENNISON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43201-3201
Country	:	US
Telephone Number	:	614-458-9011
Fax Number	:	614-291-9626

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	09/10/2025

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