Select Specialty Hospital-Tri Cities

Primary specialty

Special HospitalTaxonomy code 284300000X

License

82761 Issued in TN

Legal business name

SELECT SPECIALTY HOSPITAL-TRI CITIES

Practice address

1 Medical Park Blvd
Suite 256
Bristol, TN 37620-7430

Phone

(423) 844-5902

Fax

(423) 844-5901

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Duggan

Title

VP

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Tax ID family

Select Specialty Hospital-Tri Cities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Select Specialty Hospital - Tricities LLC

  • Long Term Care Hospital
  • Bristol, TN
  • NPI 1588664999
  NPD tax ID

Locations

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1447394143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "address_2": "SUITE 256",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-5902",
            "fax_number": "423-844-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL-TRI CITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "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": "VP",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "TN",
            "license": "82761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Denise Pugsley Scott
• Hugh J Scruggs, M.D.
• Tyler Chase Seals, PA-C
• Samantha Selby, MA, LPC-MHSP
• Select Specialty Hospital - Tricities LLC
• Brandon David Clay Sexton, DPT
• Basharat A. Shah, MD
• Syed Yousaf Ali Shah, MD
• Zarna Shah, PHARMD
• Heather Michelle Shankle, B.S

• Special Hospital in Bristol, TN
• Providers in Bristol, TN by specialty
• Special Hospital in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.