Select Specialty Hospital - Danville Inc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

6BRF Issued in PA

Legal business name

SELECT SPECIALTY HOSPITAL - DANVILLE INC

Practice address

100 N Academy Ave
Bush Pavilion 3, Mail Stop 4210
Danville, PA 17822-9800

Phone

(570) 214-9654

Fax

(570) 214-9616

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Michael E. Tarvin

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 390310

Legal name

SELECT SPECIALTY HOSPITAL DANVILLE

Certification status

Terminated Other: provider status change, Jan 31, 2005

Provider type (POS)

Hospital – Short-term

Participating since

Jul 7, 2004

Last certification

Jun 22, 2004

Beds

30

Ownership / control type

Private (for profit)

Facility address

100 North Academy Ave 3Rd FL Bush Pavilion 3
Danville, PA 17822

Hospital certification: CCN 392047

Legal name

SELECT SPECIALTY HOSPITAL - DANVILLE

Certification status

Terminated Voluntary: merger or closure, Dec 31, 2022

Provider type (POS)

Hospital – Long-term

Participating since

Feb 1, 2005

Last certification

May 8, 2020

Beds

30

Ownership / control type

Private (for profit)

Facility address

100 North Academy Avenue 3Rd FLR Bush & Geisinger
Danville, PA 17822

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": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1497754667",
    "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": "100 N ACADEMY AVE",
            "address_2": "BUSH PAVILION 3, MAIL STOP 4210",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-214-9654",
            "fax_number": "570-214-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - DANVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2010-09-02",
        "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": "717-972-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "PA",
            "license": "6BRF",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL",
            "identifier": "39T803",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "0108",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390310",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPC",
            "identifier": "V17519",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL",
            "identifier": "390803",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Alec Seidel, PHARMD
• Jamie L Seiler, PA-C
• Jenna Marie Sejuit, MS OTR/L
• Daryl L. Seldomridge, PA-C
• Michael Seldomridge, RN
• Joseph John Semborski, RPH
• John Alan Semian, MD
• Elizabeth Seneca, CRNP
• Jake Sequeira, MD
• Judith A. Serra, CRNA

• Long Term Care Hospital in Danville, PA
• Providers in Danville, PA by specialty
• Long Term Care Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.