SELECT SPECIALTY HOSPITAL - NORTHWEST DETROIT INC NPI 1205836806

Long Term Care Hospital in Detroit, MI

About SELECT SPECIALTY HOSPITAL - NORTHWEST DETROIT INC

Select Specialty Hospital - Northwest Detroit Inc is a provider in Detroit, MI. The NPI number assigned to this provider is 1205836806. The practitioner's primary taxonomy code is Long Term Care Hospital (282E00000X). The provider is registered as an organization and their NPI record was last updated 8 years ago.

NPI

1205836806

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameSELECT SPECIALTY HOSPITAL - NORTHWEST DETROIT INC
Provider Location Address6071 W OUTER DR 7TH FLOOR DETROIT, MI 48235 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address4714 GETTYSBURG RD LEGAL DEPT. MECHANICSBURG, PA 17055 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-26-2005 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-02-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

SELECT SPECIALTY HOSPITAL - NORTHWEST DETROIT INC
6071 W OUTER DR
7TH FLOOR
DETROIT, MI
ZIP 48235
Phone: (313) 966-4797
Fax: (313) 966-6137

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Mailing Address

SELECT SPECIALTY HOSPITAL - NORTHWEST DETROIT INC
4714 GETTYSBURG RD
LEGAL DEPT.
MECHANICSBURG, PA
ZIP 17055
Phone: (717) 972-1100
Fax: (717) 975-9981

Primary Taxonomy

Taxonomy Code282E00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationLong Term Care Hospital
TypeHospitals
License No.830523
License StateMI
Taxonomy DescriptionLong-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

Authorized Official

Authorized Official NameMR. MICHAEL E. TARVIN Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleVICE PRESIDENT
Authorized Official Phone(717) 972-1100

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
232032MEDICARE OSCAR/CERTIFICATION (06)MI
09325OTHER (01)MI

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003873076 ZAKLINA DENDOOVEN CRNA
Individual
Nurse Anesthetist, Certified Registered6071 W OUTER DR
DETROIT, MI 48235
(952) 442-9770
1003877424DR. MATTHEW J GRIFFIN M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1174590384MR. DAVID CHRISTOPHER MILLER PA-C
Individual
Physician Assistant6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3250
1346201399 BEVELY ROBERTS CRNA
Individual
Nurse Anesthetist, Certified Registered6071 W OUTER DR
DETROIT, MI 48235
(952) 442-9770
1346216744 THOMAS BAKER CRNA
Individual
Nurse Anesthetist, Certified Registered6071 W OUTER DR
DETROIT, MI 48235
(952) 442-9770
1427018225DR. MELISSA A BARTON M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1447215538GRACE UNIVERSITY MEDICAL GROUP
Organization
Internal Medicine6071 W OUTER DR DEPT OF MEDICINE 4TH FLOOR
DETROIT, MI 48235
(313) 966-4946
1447219670DR. REGINA T NOACK M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1487623617DR. MARC-ANTHONY Q VELILLA M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1497714265DR. CLAUDIA I WHITAKER M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1528022118SINAI HOSPITAL OF GREATER DETROIT
Organization
Psychiatric Unit6071 W OUTER DR
DETROIT, MI 48235
(313) 966-2026
1528037785DR. ALLISON LEVI M.D.
Individual
Emergency Medicine (Emergency Medical Services)6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1558320598DR. ANN MARIE GARRITANO M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1588623763DR. RAJAN U POPAT M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3000
1760442586DR. MARK W BRAUTIGAN M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1780645630SINAI HOSPITAL OF GREATER DETROIT
Organization
General Acute Care Hospital6071 W OUTER DR
DETROIT, MI 48235
(313) 966-2026
1790746113DR. MARC S ROSENTHAL D.O.
Individual
Emergency Medicine6071 W OUTER DR SINAI-GRACE HOSPITAL
DETROIT, MI 48235
(313) 966-1785
1801853767SINAI HOSPITAL OF GREATER DETROIT
Organization
Rehabilitation Unit6071 W OUTER DR
DETROIT, MI 48235
(313) 966-2026
1871553404DR. HAROLD S DERSTINE M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1902866734DR. REGINALD J EADIE M.D.
Individual
Emergency Medicine (Emergency Medical Services)6071 W OUTER DR
DETROIT, MI 48235
(313) 745-2780
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