NPIMap

Organization Active NPI

Intensiva Hospital of Greater St. Louis Inc

  • Long Term Care Hospital
  • Saint Charles, MO
National Provider Identifier
1275533747
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
4582 Issued in MO
Legal business name
INTENSIVA HOSPITAL OF GREATER ST. LOUIS INC
Practice address
300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone
(314) 768-3450
Fax
(314) 768-3002
NPI assigned
Jul 27, 2005
Organization subpart
No

Authorized official

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

Facilities with the same owner 129

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

View all 129

Practitioners 6

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

Affiliated clinicians 8

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

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital-St LouisCCN 262013
Ownership
For profit
Certified
Nov 1, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Beds
33

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
26D0970469Intensiva Hospital of Greater St Louis, Inc300 1St Capitol Drive, 1St Floor, St Charles, MO 63301Certificate of waiverOct 5, 2027

Medicare participation

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

Hospital certification: CCN 262013

Medicare enrollment files
Legal name
INTENSIVA HOSPITAL OF GREATER ST. LOUIS, INC.
Doing business as
SELECT SPECIALTY HOSPITAL - ST. LOUIS
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Nov 1, 2000
Last certification
Jan 15, 2020
Beds
33
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jun 19, 1995 in MO
Enrollment address
300 1St Capitol Drive
St Charles, MO 63301-2844
Main/Primary Hospital Location
Hospital subgroups
Acute care, Long-term

All disclosed owners & managing parties 10

Medicare enrollment files

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 May 1, 2009 100%
Operational/Managerial Control May 1, 2009 100%
Thomas Mullin Individual Corporate Officer Sep 2, 2025
Intensiva Healthcare Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest May 1, 2003 100%
Jeff Halbert Individual Corporate OfficerSatellite Ceo Apr 3, 2023
W-2 Managing EmployeeSatellite Ceo Apr 3, 2023
Operational/Managerial ControlSatellite Ceo Apr 3, 2023
John Saich Individual Corporate Officer Sep 2, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 2, 2025
Michael Malatesta Individual Corporate Officer Apr 9, 2025
Robert Kido Individual Corporate Officer Sep 2, 2025
John Duggan Individual Corporate Officer May 12, 2005
Corporate Director Sep 1, 2025
Patricia Wors Individual Corporate OfficerCeo Sep 2, 2025
W-2 Managing EmployeeAd; Sep 2, 2025
Operational/Managerial ControlCeo Sep 2, 2025

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20050512000686 MO Part a Provider - Hospital 6204877939 Practice locations: Saint Louis, MO; St Charles, MO

National Provider Directory

National Provider Directory

Locations

300 1st Capitol Dr
Unit 1A1B
Saint Charles, MO 63301

3015 N Ballas Rd
Fl 5
Saint Louis, MO 63131
Phone (314) 996-6500

6150 Oakland Ave
Fl 5
Saint Louis, MO 63139
Phone (314) 768-3513

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 4582 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

300 1St Capitol Dr
Saint Charles, MO 63301-2844

Mailing address

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

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
152517OtherMOBCBS MO
16033607MedicaidMO

Other names 1

NPPES NPI Registry
  • Select Specialty Hospital - St. Louis Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2025.

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1275533747",
    "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": "300 1ST CAPITOL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012844",
            "telephone_number": "314-768-3450",
            "fax_number": "314-768-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVA HOSPITAL OF GREATER ST. LOUIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "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": "MO",
            "license": "4582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MO",
            "identifier": "152517",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16033607",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Specialty Hospital - St. Louis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.