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Organization Active NPI

Select Specialty Hospital - Durham Inc

  • Long Term Care Hospital
  • Durham, NC
National Provider Identifier
1306845482
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
H0280 Issued in NC
Legal business name
SELECT SPECIALTY HOSPITAL - DURHAM INC
Practice address
3643 N Roxboro St
Durham, NC 27704-2702
Phone
(919) 470-9010
Fax
(919) 470-9020
NPI assigned
Jul 20, 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 H0280 NC Primary

Addresses

Primary practice location

3643 N Roxboro St
Durham, NC 27704-2702

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030610000033 NC Part A Provider - Hospital 5890605067 Practice locations: Durham, NC

Hospital certification: CCN 342018

Legal name
SELECT SPECIALTY HOSPITAL - DURHAM, INC.
Doing business as
SELECT SPECIALTY HOSPITAL DURHAM
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Feb 1, 2004
Last certification
Jan 17, 2013
Beds
30
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Nov 24, 1998 in DE
Enrollment address
3643 N Roxboro St
Durham, NC 27704-2702
Main/Primary Hospital Location
Hospital subgroups
Acute care, Long-term

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital Durham IncCCN 342018
Ownership
For profit
Certified
Feb 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Beds
30

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3643 N Roxboro St
Fl 6
Durham, NC 27704
Phone (919) 470-9159

Ownership & related parties

All disclosed owners & managing parties 10

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, 1998 100%
Operational/Managerial Control Jan 1, 1998 100%
Thomas Mullin Individual Corporate Officer Sep 4, 2025
Intensiva Healthcare Corporation Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 100%
John Saich Individual Corporate Officer Sep 4, 2025
Select Specialty Hospital - Durham, Inc. Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest May 14, 2001 100%
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 4, 2025
Michael Malatesta Individual Corporate Officer Sep 4, 2025
Robert Kido Individual Corporate Officer Sep 4, 2025
John Duggan Individual Corporate Officer Jun 19, 2003
Corporate Director Sep 4, 2025
Lindsay Crumpton Individual Corporate OfficerCeo Jun 29, 2026
W-2 Managing EmployeeAd; Jun 29, 2026
Operational/Managerial ControlCeo Jun 29, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1306845482",
    "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": "3643 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042702",
            "telephone_number": "919-470-9010",
            "fax_number": "919-470-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - DURHAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "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": "NC",
            "license": "H0280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.