SELECT SPECIALTY HOSPITAL - PHOENIX INC (NPI# 1891795415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891795415 |
| Entity Type | Organization |
| Organization Name | SELECT SPECIALTY HOSPITAL - PHOENIX INC |
| Practice Address |
350 W Thomas Rd 3rd Flr Phoenix AZ 85013-4409 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept. Mechanicsburg PA 17055-4325 |
| Practice Telephone | 6024066802 |
| Practice Fax Number | 6024066891 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | MR. MICHAEL E. TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | SH190 | AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBS AZ | AZ0205610 | 01 |
| AZ | HEALTHNET | IZ0120 | 01 |
| AZ | 459835 | 05 |
| Street Address |
350 W THOMAS RD 3RD FLR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928267 | Zion Specialty Pllc | Specialist | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-09-30 |
| 1598370603 | Park Central Anesthesia | Anesthesiology | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-09-15 |
| 1760093553 | Marissa Karrina Lopez | Nurse Practitioner | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-08-13 |
| 1497373252 | Bernardo De Andrada Pereira | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-07-08 |
| 1700403185 | Janae Marie Herrera | Registered Nurse | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-07-01 |
| 1649896267 | Benjamin Craig Seleen | Nurse Practitioner | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-06-19 |
| 1588285902 | Chandra Marie Tontsch | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-04-27 |
| 1568083970 | Cody Wong | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-04-27 |
| 1427678200 | Timothy Eugene Hollowed | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-04-21 |
| 1346860558 | Shrutisudha Mishra | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
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| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802861 | Select Specialty Hospital - Arizona Inc | Long Term Care Hospital | 1012 E Willetta St, 4th Floor, Phoenix, AZ 85006-2749 | 2005-06-24 |
| 1538510979 | Curahealth Phoenix, LLC | Long Term Care Hospital | 40 E Indianola Ave, Phoenix, AZ 85012-2019 | 2016-06-27 |
| 1629256532 | Select Specialty Hospital - Arizona Inc | Long Term Care Hospital | 1012 E Willetta St, 4th Floor, Phoenix, AZ 85006-2749 | 2008-02-01 |
| 1629124292 | Nasreen Qureshi | Long Term Care Hospital | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2007-01-26 |
| 1104972843 | M Akram Bhatti | Long Term Care Hospital | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2007-01-26 |
| 1437203205 | Lynn Sokol Lydon | Long Term Care Hospital | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2007-01-22 |
| 1811041585 | Ruby Ramos-roxas | Long Term Care Hospital | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2007-01-22 |
| 1326191586 | Dawood A Mulla | Long Term Care Hospital | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2007-01-19 |
| 1013069749 | Arizona State Hospital | Long Term Care Hospital | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447733043 | Hidden Oasis, LLC | Long Term Care Hospital | 6081 N Dodge Dr, Prescott Valley, AZ 86314-1742 | 2018-09-10 |
| 1801073598 | Select Specialty Hospital - Arizona Inc | Long Term Care Hospital | 1010 North County Club Drive, 7th Floor, Mesa, AZ 85201 | 2008-01-25 |
| 1053467571 | Daniela Reid | Long Term Care Hospital | 159 W Wickenburg Way, Wickenburg, AZ 85390-2265 | 2007-01-26 |
| 1043264278 | Cornerstone Hospital of Southeast Arizona LLC | Long Term Care Hospital | 7220 E Rosewood St, Tucson, AZ 85710-1350 | 2006-05-20 |
| 1073572590 | Promise Hospital of Phoenix Inc | Long Term Care Hospital | 433 E 6th St, Mesa, AZ 85203-7104 | 2006-03-22 |
| 1245228170 | Hearthstone Hospital Mesa | Long Term Care Hospital | 215 S Power Rd, Mesa, AZ 85206-5235 | 2005-10-13 |
| 1770147118 | Kpc Promise Hospital of Phoenix LLC | Long Term Care Hospital | 433 E 6th St, Mesa, AZ 85203-7104 | 2019-04-30 |
| 1700237146 | Curahealth Tucson, LLC | Long Term Care Hospital | 355 N Wilmot Rd, Tucson, AZ 85711-2601 | 2016-06-27 |
| 1790136133 | Curahealth Phoenix, LLC | Long Term Care Hospital | 13216 N Plaza Del Rio Blvd, Peoria, AZ 85381-4907 | 2016-06-27 |
| 1982094124 | Chg Hospital Tucson, LLC | Long Term Care Hospital | 7220 E Rosewood St, Tucson, AZ 85710-1350 | 2015-01-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.