Select Specialty Hospital - Columbus/University, Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

1422 Issued in OH

Legal business name

SELECT SPECIALTY HOSPITAL - COLUMBUS/UNIVERSITY, INC.

Practice address

410 W 10TH Ave
1129 Doan Hall
Columbus, OH 43210

Phone

(717) 972-1100

Fax

(717) 975-9981

NPI assigned

Jul 18, 2005

Reactivated

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Michael E. Tarvin

Title

Vice President

Phone

(717) 975-4503

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 362017

Legal name

SELECT SPECIALTY HOSP-COLUMBUS

Certification status

Terminated Voluntary: merger or closure, Aug 31, 2006

Provider type (POS)

Hospital – Long-term

Participating since

Aug 1, 1997

Last certification

Aug 1, 1997

Beds

50

Ownership / control type

Private (for profit)

Facility address

410 W 10TH Ave, 11TH FL, Doan Hall
Columbus, OH 43210

Locations

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1144229626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG ROAD",
            "address_2": "LEGAL DEPARTMENT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17055",
            "telephone_number": "717-975-4503",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 10TH AVE",
            "address_2": "1129 DOAN HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43210",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - COLUMBUS/UNIVERSITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-11-07",
        "deactivation_date": "2006-08-17",
        "reactivation_date": "2008-11-07",
        "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": "717-975-4503"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "1422",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "1423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OH-2047752",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Columbus, OH
• Providers in Columbus, OH by specialty
• General Acute Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.