SELECT SPECIALTY HOSPITAL - WINSTON-SALEM INC NPI 1457351884

Long Term Care Hospital in Winston-salem, NC

Organization Long Term Care Hospital

About SELECT SPECIALTY HOSPITAL - WINSTON-SALEM INC

Select Specialty Hospital - Winston-salem Inc is a provider established in Winston-salem, North Carolina specializing in long term care hospital. The NPI number of Select Specialty Hospital - Winston-salem Inc is 1457351884 and was assigned on July 2005. The practitioner's primary taxonomy code is 282E00000X with license number H0277 (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Michael E. Tarvin (Vice President)

NPI

1457351884

Provider NameSELECT SPECIALTY HOSPITAL - WINSTON-SALEM INC
Provider Location Address3333 SILAS CREEK PKWY WINSTON-SALEM, NC 27103
Provider Mailing Address4714 GETTYSBURG RD LEGAL DEPT. MECHANICSBURG, PA 17055
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-28-2005
Last Update Date09-02-2010

Primary Taxonomy

Taxonomy Code282E00000X
ClassificationLong Term Care Hospital
TypeHospitals
License No.H0277
License StateNC
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.

Business Address

SELECT SPECIALTY HOSPITAL - WINSTON-SALEM INC
3333 SILAS CREEK PKWY
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 718-6501
Fax: (336) 718-6510

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Mailing Address

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

Authorized Official

Authorized Official NameMR. MICHAEL E. TARVIN
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
3402016MEDICAID (05)NC
342016MEDICARE OSCAR/CERTIFICATION (06)NC

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1003805110 BONNIE LYNN GAUDIN PA
Individual
Physician Assistant (Medical)3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON SALEM, NC 27103
(336) 275-3325
1114903432 DAVID BENNETT P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1134104086DR. TOBY M. SULLIVAN M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-3928
1255317939DR. PETER S. VROOMAN JR. M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1285612523 OLAYINKA D. AKINOLA MD
Individual
Internal Medicine3333 SILAS CREEK PKWY
WINSTON-SALEM, NC 27103
(336) 718-7080
1306822648 ROBERT E. WOOTEN P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY EMERGENCY DEPT.
WINSTON-SALEM, NC 27103
(336) 765-9328
1346226016DR. GREGORY P. TARLETON M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9358
1356326201DR. DANIEL G. SAYERS M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1366438194DR. DAWN ANNE CHUNG MD
Individual
Internal Medicine3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
(336) 718-7080
1508842477 STUART B. TAYLOR II P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY EMERGENCY DEPT
WINSTON-SALEM, NC 27103
(336) 765-9328
1518942978DR. EDGAR L. MCPHERSON M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1518943844 DAVID A. SCUDDER P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1548246416 KELLY R. TAYLOR P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY EMERGENCY DEPT
WINSTON-SALEM, NC 27103
(336) 765-9328
1548246861 GEORGE B. INGLE P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY ATTN: LISA BROWER
WINSTON-SALEM, NC 27103
(336) 765-9328
1699754689 TAMAS P. BATHORY MD
Individual
Internal Medicine3333 SILAS CREEK PKWY ATTN: INPATIENT PHYSICIANS SERVICES OF FORSYTH
WINSTON-SALEM, NC 27103
(336) 718-7080
1740265289DR. PAUL HORTON M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1811972268DR. TAD W. LOWDERMILK M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1831175157 JULIE W. FILE P.A.
Individual
Physician Assistant3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328
1851362123 ANIKO TOTH-BAGI MD
Individual
Internal Medicine3333 SILAS CREEK PKWY DBA INPATIENT PHYSICIANS OF FORSYTH
WINSTON SALEM, NC 27103
(336) 718-7080
1952386302DR. NICHOLAS IANNUZZI M.D.
Individual
Emergency Medicine3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON-SALEM, NC 27103
(336) 765-9328

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.