Select Specialty Hospital Oshkosh Inc.

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

SELECT SPECIALTY HOSPITAL OSHKOSH INC.

Practice address

500 South Oakwood Road
3Rd Floor
Oshkosh, WI 54904

Phone

(717) 972-1100

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Michael Tarvin

Title

Vice President

Phone

(717) 975-4503

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 520209

Legal name

SELECT SPECIALTY HOSPITAL FOX VALLEY

Certification status

Terminated Voluntary: merger or closure, Sep 5, 2014

Provider type (POS)

Hospital – Short-term

Participating since

Aug 21, 2014

Last certification

Aug 21, 2014

Beds

25

Ownership / control type

Private (for profit)

Facility address

500 S Oakwood Road 3Rd Floor
Oshkosh, WI 54904

Member of 1

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

• Select Specialty Hospitals Inc

  • Long Term Care Hospital
  • Birmingham, AL
  • NPI 1487652616

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1447675103",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SOUTH OAKWOOD ROAD",
            "address_2": "3RD FLOOR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54904",
            "telephone_number": "717-972-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL OSHKOSH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-975-4503"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula D Seeley, NP
• Thomas Seidel
• Lisa A. Seidl
• Samantha J Seidling, NP
• Select Specialty Hospital Oshkosh Inc
• Tara Sell, LPC
• Dianne W Sellers, NP
• Aimee M Seroogy
• Jerad Alfred Servais, DDS
• Sherry L Seubert, COTA

• Long Term Care Hospital in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Long Term Care Hospital in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.