Select Specialty Hospital - Beech Grove Inc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

008900 Issued in IN

Legal business name

SELECT SPECIALTY HOSPITAL - BEECH GROVE INC

Practice address

8060 Knue Rd
Indianapolis, IN 46250-1976

Phone

(317) 783-8731

Fax

(317) 783-8989

NPI assigned

Jun 28, 2005

Last updated

Aug 16, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael E. Tarvin

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1033115605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT.",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 KNUE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501976",
            "telephone_number": "317-783-8731",
            "fax_number": "317-783-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - BEECH GROVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "IN",
            "license": "008900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IN",
            "identifier": "000000098305",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200079020A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Selby, PTA
• Jaclyn Marise Selders Williams, PA-C
• Select Physical Therapy Holdings Inc
• Select Physical Therapy Holdings Inc
• Select Physical Therapy Holdings Inc (Select Physical Therapy)
• Select Specialty Hospital - Beech Grove, Inc
• Self-Concepts Global Services
• Abby Self, RD,LD
• Dorothy Roberta Self, ANP
• Leslee Ann Sell, NP-C

• Long Term Care Hospital in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Long Term Care Hospital in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.