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SELECT SPECIALTY HOSPITAL - MUSKEGON
NPI 1245230671
Long Term Care Hospital in Muskegon, MI

Active since July 28, 2005
1700 CLINTON ST, 2 SOUTH, 2ND AND 3RD FLOORS, MUSKEGON, MI 49442(231) 728-5803(231) 728-5820 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Select Specialty Hospital - Muskegon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELECT SPECIALTY HOSPITAL - MUSKEGON (NPI 1245230671) is a healthcare organization registered as a long term care hospital in Muskegon, Michigan and active in the NPI registry since July 2005. The organization lists Michael E. Tarvin, Vice President, as its authorized official.

NPPES Registry Identity

NPI1245230671
Entity TypeOrganization
Primary Taxonomy282E00000X
Legal Business NameGREAT LAKES SPECIALTY HOSPTIAL - HACKLEY LLC
Location Address1700 CLINTON ST, 2 SOUTH, 2ND AND 3RD FLOORSMuskegon, MI 49442-5502
Mailing Address4714 Gettysburg Rd, Legal Dept.Mechanicsburg, PA 17055-4325 · (717) 972-1100 · Fax (717) 975-9981
Phone(231) 728-5803
Fax(231) 728-5820
Organization SubpartNo
Authorized OfficialMichael E. TarvinVice President · (717) 972-1100
Enumeration DateJuly 28, 2005
Last NPPES UpdateSeptember 29, 2015
✔ NPI 1245230671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLong Term Care HospitalHospitals
Taxonomy Code282E00000X
License✔ Licensed in MI · 610057
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
1700 CLINTON ST, Muskegon, MI 49442
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Other Names 1

Doing Business AsSelect Specialty Hospital - Muskegon

Other Identifiers 2

Medicare OSCAR/certification232021MI
Other00347MI · Bcbs Mi

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN A DUNN MD
Anesthesiology
1700 CLINTON ST
MUSKEGON, MI 49442
Muskegon County (231) 726-3511
RACHEL LAUREN DEBRUIN PA-C
Physician Assistant
1700 CLINTON ST
MUSKEGON, MI 49442
Muskegon County (231) 557-3443
DR. JASON D OETMAN DO
Emergency Medicine
1700 CLINTON ST
MUSKEGON, MI 49442
Muskegon County (231) 728-4936
HACKLEY HOSPITAL FISCAL SERVICES
Clinic/Center
1700 CLINTON ST
MUSKEGON, MI 49442
Muskegon County (231) 728-5667
NICHOLAS M MCMANUS D.O.
Emergency Medicine
1700 CLINTON ST
MUSKEGON, MI 49442
Muskegon County (231) 727-5250
HACKLEY HOSPITAL FISCAL SERVICES
Clinic/Center (Health Service)
1700 CLINTON ST
MUSKEGON, MI 49442
Muskegon County (231) 727-4485
DR. LUCAS LEETE M.D.
Emergency Medicine
1700 CLINTON ST
MUSKEGON, MI 49442
Muskegon County (231) 728-4601
EVAN BEVOLDEN
Physician Assistant (Medical)
1700 CLINTON ST
MUSKEGON, MI 49442
Muskegon County (231) 728-4601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Specialty Hosptial - Hackley LLC's NPI number?

The NPI number for Great Lakes Specialty Hosptial - Hackley LLC is 1245230671. It was assigned to this organization in the NPPES registry on July 28, 2005. The provider is doing business as Select Specialty Hospital - Muskegon.

Where is Great Lakes Specialty Hosptial - Hackley LLC located?

Great Lakes Specialty Hosptial - Hackley LLC is located at 1700 Clinton St 2 South, 2nd And 3rd Floors, Muskegon, MI 49442. The listed phone number is (231) 728-5803.

What is Great Lakes Specialty Hosptial - Hackley LLC's specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Specialty Hosptial - Hackley LLC was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.