SELECT SPECIALTY HOSPITAL - FLINT INC (NPI# 1912906934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912906934 |
Entity Type | Organization |
Organization Name | SELECT SPECIALTY HOSPITAL - FLINT INC |
Practice Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
Mailing Address |
4714 Gettysburg Rd Legal Dept. Mechanicsburg PA 17055-4325 |
Practice Telephone | 8107626699 |
Mailing Telephone | 7179721100 |
Mailing Fax Number | 7179759981 |
Enumeration Date | 2005-07-20 |
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 | 250071 | MI | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | AETNA | 383297128 | 01 |
MI | PPOM | 383297128 | 01 |
MI | BCBS MI | 00345 | 01 |
Street Address |
401 S BALLENGER HWY |
City | FLINT |
State | MI |
Zip Code | 48532-3638 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255931200 | Rachel Webster | Student in an Organized Health Care Education/Training Program | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-10-29 |
1093315442 | Kai A Forte | Nurse Practitioner | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-10-27 |
1235756560 | Seth Campbell | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-07-02 |
1164049805 | Andrew Peace | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-06-29 |
1285250316 | Nischit Baral | Internal Medicine | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-06-24 |
1871117457 | Thaer Jamal Farhan | Family Medicine | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-05-30 |
1902447667 | Adrienne L Dudley | Nurse Practitioner | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2019-10-03 |
1235798083 | Hossein Tabrizi | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2019-06-06 |
1992364731 | Nathanael Adams | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2019-06-06 |
1043879893 | Evan Kohler | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2019-06-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
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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 |
---|---|---|---|---|
1972032209 | Special Care Hospital, LLC | Long Term Care Hospital | 1840 Wealthy St Se Fl 5, Grand Rapids, MI 49506-2921 | 2017-06-09 |
1508027624 | Vibra of Southeastern Michigan LLC | Long Term Care Hospital | 26400 West Outer Dr, Lincoln Park, MI 48146-2088 | 2008-06-20 |
1962512863 | Mclaren Bay Special Care | Long Term Care Hospital | 3250 E Midland Rd Ste 1, Bay City, MI 48706-2835 | 2006-08-30 |
1801872379 | Scci Hospitals of America Inc. | Long Term Care Hospital | 4777 East Outer Drive, Detroit, MI 48234-3241 | 2005-12-16 |
1245230671 | Great Lakes Specialty Hosptial - Hackley LLC | Long Term Care Hospital | 1700 Clinton St, 2 South, 2nd and 3rd Floors, Muskegon, MI 49442-5502 | 2005-07-28 |
1205836806 | Select Specialty Hospital - Northwest Detroit Inc | Long Term Care Hospital | 6071 W Outer Dr, 7th Floor, Detroit, MI 48235-2624 | 2005-07-26 |
1912907635 | Select Specialty Hospital - Macomb County Inc | Long Term Care Hospital | 215 North Ave, Mount Clemens, MI 48043-1716 | 2005-07-22 |
1225034895 | Select Specialty Hospital - Battle Creek Inc | Long Term Care Hospital | 300 North Ave, Fl 6, Battle Creek, MI 49017-3307 | 2005-06-28 |
1427564855 | Select Specialty Hospital - Macomb County Inc | Long Term Care Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 | 2017-12-21 |
1538426655 | Henry Ford Health System | Long Term Care Hospital | 2799 West Grand Blvd, Henry Ford Hospital, Detroit, MI 48101-2608 | 2012-04-13 |
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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.