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NPI Code Detail

MEDICARE: SELECT SPECIALTY HOSPITAL - PHOENIX INC

MEDICARE: SELECT SPECIALTY HOSPITAL - PHOENIX 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 HospitalSH190AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AZ0205610OTHERAZBCBS AZ
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3IZ0120OTHERAZHEALTHNET

General Provider Information

NPI Number : 1891795415
Entity Type Code : Organization
Provider Name (Legal Business Name) : SELECT SPECIALTY HOSPITAL - PHOENIX 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 : 350 W THOMAS RD
Second Line : 3RD FLR
City : PHOENIX
State : AZ
Zip : 85013-4409
Country : US
Telephone Number : 602-406-6802
Fax Number : 602-406-6891
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. JOHN DUGGAN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 07/26/2005
Last Update Date : 09/10/2025

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Directions to “SELECT SPECIALTY HOSPITAL - PHOENIX 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.

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