NPIMap

Organization Active NPI

Select Specialty Hospital - Panama City Inc

  • Long Term Care Hospital
  • Panama City, FL
National Provider Identifier
1194725713
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
4475 Issued in FL
Legal business name
SELECT SPECIALTY HOSPITAL - PANAMA CITY INC
Practice address
615 N Bonita Ave
Panama City, FL 32401-3623
Phone
(850) 767-3199
Fax
(850) 767-3181
NPI assigned
Jul 26, 2005
Last updated
Sep 10, 2025By the provider in NPPES
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 4475 FL Primary

Addresses

Primary practice location

615 N Bonita Ave
Panama City, FL 32401-3623

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
0103438-00MedicaidFL
141OtherFLBLUE CROSS FL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031023000034 FL Part A Provider - Hospital 2365354032 Practice locations: Panama City, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1194725713. Details of each certification follow.

Hospital certification: CCN 102017

Legal name
SELECT SPECIALTY HOSPITAL - PANAMA CITY INC
Doing business as
SELECT SPECIALTY HOSPITAL PANAMA CITY
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Aug 1, 2004
Last certification
Sep 24, 2020
Beds
30
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Feb 6, 2002 in DE
Enrollment address
615N Bonita Ave
Panama City, FL 32401-3623
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 100297

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SEMPERCARE HOSPITAL OF PANAMA CITY
Certification status
Terminated Other: provider status change, Jul 31, 2004
Provider type (POS)
Hospital – Short-term
Participating since
Jan 27, 2004
Last certification
Jan 27, 2004
Beds
30
Ownership / control type
Private (for profit)
Facility address
615 N Bonita Ave
Panama City, FL 32401

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital - Panama CityCCN 102017 · All quality measures
Ownership
For profit
Certified
Aug 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Beds
30

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
10D1026565Select Specialty Hospital Panama City Inc615 N Bonita 3Rd FL, Panama City, FL 32401Certificate of waiverJun 8, 2028

National Provider Directory

National Provider Directory

Locations

615 N Bonita Ave
Fl 3
Panama City, FL 32401
Phone (850) 767-3180

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 Jan 1, 2005 100%
Operational/Managerial Control Jan 1, 2005 100%
Thomas Mullin Individual Corporate Officer Sep 3, 2025
John Saich Individual Corporate Officer Sep 3, 2025
Matthew Presley Individual Corporate OfficerCeo Aug 1, 2022
W-2 Managing EmployeeCeo Aug 1, 2022
Operational/Managerial ControlCeo Aug 1, 2022
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 3, 2025
Sempercare, Inc. Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2005 100%
Michael Malatesta Individual Corporate Officer Sep 3, 2025
Robert Kido Individual Corporate Officer Sep 3, 2025
John Duggan Individual Corporate Officer Jan 1, 2005
Corporate Director Sep 3, 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

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1194725713",
    "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": "615 N BONITA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013623",
            "telephone_number": "850-767-3199",
            "fax_number": "850-767-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - PANAMA CITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "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": "FL",
            "license": "4475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103438-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FL",
            "identifier": "141",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.