NPIMap

Organization Active NPI

Select Specialty Hospital - Wichita Inc

  • Long Term Care Hospital
  • Wichita, KS
National Provider Identifier
1124028550
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
H087010 Issued in KS
Legal business name
SELECT SPECIALTY HOSPITAL - WICHITA INC
Practice address
929 N Saint Francis St
6TH Floor, North Tower
Wichita, KS 67214-3821
Phone
(316) 688-3930
Fax
(316) 962-3939
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Mr. John Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X H087010 KS Primary

Addresses

Primary practice location

929 N Saint Francis St
6TH Floor, North Tower
Wichita, KS 67214-3821

Mailing address

4714 Gettysburg Rd
Legal Dept.
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other identifiers 2

IdentifierTypeStateIssuer
100414290AMedicaidKS
1494OtherKSBCBS KS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000311 KS Part A Provider - Hospital 3870497225 Practice locations: Wichita, KS

Hospital certification: CCN 172007

Legal name
SELECT SPECIALTY HOSPITAL - WICHITA INC
Doing business as
SELECT SPECIALTY HOSPITAL - WICHITA
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jan 1, 2001
Last certification
Aug 3, 2023
Beds
48
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Dec 19, 1997 in MO
Enrollment address
929 North St Francis Street
6TH Floor North Tower
Wichita, KS 67214-3821
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital WichitaCCN 172007
Ownership
For profit
Certified
Jan 1, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Beds
48

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D1019102Select Specialty Hospital-Wichita, Inc929 N St Francis Street, 6TH Floor, North Tower, Wichita, KS 67214Certificate of waiverNov 9, 2027

National Provider Directory

National Provider Directory

Locations

929 N Saint Francis Ave
Fl 5
Wichita, KS 67214
Phone (316) 962-3930

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Dec 10, 1996 100%
Operational/Managerial Control Dec 10, 1996 100%
Thomas Mullin Individual Corporate Officer Sep 5, 2025
Intensiva Healthcare Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Dec 16, 1998 100%
John Saich Individual Corporate Officer Sep 5, 2025
Eric Christensen Individual Corporate OfficerCeo Jun 1, 2020
W-2 Managing EmployeeCeo Jun 1, 2020
Operational/Managerial ControlCeo Jun 1, 2020
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 5, 2025
Michael Malatesta Individual Corporate Officer Sep 5, 2025
Robert Kido Individual Corporate Officer Sep 5, 2025
John Duggan Individual Corporate Officer Dec 16, 1998
Corporate Director Sep 5, 2025

Facilities with the same owner 129

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 129

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1124028550",
    "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": "929 N SAINT FRANCIS ST",
            "address_2": "6TH FLOOR, NORTH TOWER",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-688-3930",
            "fax_number": "316-962-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - WICHITA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "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": "KS",
            "license": "H087010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100414290A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS",
            "identifier": "1494",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.