MEDICARE: SELECT SPECIALTY HOSPITAL - ARIZONA 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	SH2354	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0207750	OTHER	AZ	BCBS AZ
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	AZ0208070	OTHER	AZ	BCBS AZ (PHOENIX DTOWN)
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	AZ0208080	OTHER	AZ	BCBS AZ (SCOTTSDALE)
7	IZ0120	OTHER	AZ	HEALTHNET

General Provider Information

NPI Number	:	1902802861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELECT SPECIALTY HOSPITAL - ARIZONA 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	:	1111 E MCDOWELL RD FL 11
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2612
Country	:	US
Telephone Number	:	480-675-6016
Fax Number	:

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	01/08/2026

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