SELECT SPECIALTY HOSPITAL - PONTIAC INC
NPI 1720088370
Long Term Care Hospital in Pontiac, MI
NPI Status: Active since July 26, 2005
Contact Information
44405 WOODWARD AVE
7TH AND 8TH FLS
PONTIAC, MI
ZIP 48341
Phone: (248) 452-5206
Fax: (248) 452-5208
- Organization
- Long Term Care Hospital
- CLIA Number: 23D0985854
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 04-30-2027
About SELECT SPECIALTY HOSPITAL - PONTIAC INC
This page provides the complete NPI Profile along with additional information for Select Specialty Hospital - Pontiac Inc, a provider established in Pontiac, Michigan operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1720088370 assigned on July 2005. The practitioner's primary taxonomy code is 282E00000X with license number 630172 (MI). 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
- 1720088370
- Provider Name
- SELECT SPECIALTY HOSPITAL - PONTIAC INC
- Entity Type
- Organization
- Location Address
- 44405 WOODWARD AVE 7TH AND 8TH FLS PONTIAC, MI 48341
- Location Phone
- (248) 452-5206
- Location Fax
- (248) 452-5208
- Mailing Address
- 4714 GETTYSBURG RD LEGAL DEPT. MECHANICSBURG, PA 17055
- Mailing Phone
- (717) 972-1100
- Mailing Fax
- (248) 452-5208
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-26-2005
- Last Update Date
- 10-24-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Long Term Care Hospital
- Taxonomy Code
- 282E00000X
- Type
- Hospitals
- License No.
- 630172
- License State
- MI
- Taxonomy Description
- Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 09322 | OTHER (01) | MI | BCBS MI |
| 232030 | MEDICARE OSCAR/CERTIFICATION (06) | MI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0985854
- Facility Type
- Hospital
- Certificate Effective Date
- May 01, 2025
- Certificate Expiration Date
- April 30, 2027
- Laboratory Director
- FADI SALLOUM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Select Specialty Hospital - Pontiac Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720088370, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PONTIAC, MI 48341
PONTIAC, MI 48341
PONTIAC, MI 48341
PONTIAC, MI 48341
PONTIAC, MI 48341
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720088370, enumerated as an "organization" on July 26, 2005.
The provider is located at 44405 WOODWARD AVE 7TH AND 8TH FLS PONTIAC, MI 48341 and the phone number is (248) 452-5206.
Long Term Care Hospital with taxonomy code 282E00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
