Select Specialty Hospital - Columbus East Inc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

1430 Issued in OH

Legal business name

SELECT SPECIALTY HOSPITAL - COLUMBUS EAST INC

Practice address

1492 E Broad St
7TH Floor
Columbus, OH 43205-1546

Phone

(614) 293-6797

Fax

(614) 293-6933

NPI assigned

Jul 18, 2005

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) 972-1139

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 362018

Legal name

SELECT SPECIALTY HOSPITAL-COLUMBUS

Certification status

Terminated Voluntary: merger or closure, Jun 30, 2007

Provider type (POS)

Hospital – Long-term

Participating since

Nov 24, 1996

Last certification

Mar 4, 1999

Beds

44

Ownership / control type

Private (for profit)

Facility address

1492 E Broad St, 7TH Floor
Columbus, OH 43205

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1215936810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 OLD GETTYSBURG RD",
            "address_2": "LEGAL DEPT.",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1139",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 E BROAD ST",
            "address_2": "7TH FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051546",
            "telephone_number": "614-293-6797",
            "fax_number": "614-293-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - COLUMBUS EAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-04-20",
        "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": "717-972-1139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "OH",
            "license": "1430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OH-2366881",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OH",
            "identifier": "000000251611",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Select Specialty Hospital - Columbus Inc
• Select Specialty Hospital - Columbus/University, Inc.
• Rebecca Ann Selegue, M.S., P.T.
• Amanda Selhorst
• Todd Seligman

• Long Term Care Hospital in Columbus, OH
• Providers in Columbus, OH by specialty
• Long Term Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.