NPIMap

Organization Active NPI

Select Specialty Hospital - Quad Cities Inc

  • Long Term Care Hospital
  • Davenport, IA
National Provider Identifier
1598712903
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
820121H Issued in IA
Legal business name
SELECT SPECIALTY HOSPITAL - QUAD CITIES INC
Practice address
1227 E Rusholme St FL 3
Davenport, IA 52803-2459
Phone
(563) 468-2000
Fax
(563) 386-8175
NPI assigned
May 30, 2006
Last updated
Sep 10, 2025By the provider in NPPES
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 820121H IA Primary

Addresses

Primary practice location

1227 E Rusholme St FL 3
Davenport, IA 52803-2459

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070824000565 IA Part A Provider - Hospital 8123038759 Practice locations: Davenport, IA

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1598712903. Details of each certification follow.

Hospital certification: CCN 162001

Legal name
SELECT SPECIALTY HOSPITAL - QUAD CITIES INC
Doing business as
SELECT SPECIALTY HOSPITAL - QUAD CITIES
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Feb 1, 2007
Last certification
Mar 30, 2018
Beds
50
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 23, 2012 (1 total)
Organization structure
CorporationProprietary
Incorporated
Jan 8, 2004 in DE
Enrollment address
1111W Kimberly Rd
Davenport, IA 52806-5711
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 160025

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ST LUKES HOSPITAL
Certification status
Terminated Other: provider status change, Jun 1, 1994
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 28, 1991
Beds
181
Ownership / control type
Church
Facility address
1227 E Rusholme St
Davenport, IA 52803

Hospital certification: CCN 160155

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SELECT SPECIALTY HOSPITAL-QUAD CITIES
Certification status
Terminated Other: provider status change, Jan 31, 2007
Provider type (POS)
Hospital – Short-term
Participating since
Aug 28, 2006
Last certification
Aug 1, 2006
Beds
50
Ownership / control type
State
Facility address
1111 Kimberly Road
Davenport, IA 52806

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital - Quad CitiesCCN 162001 · All quality measures
Ownership
For profit
Certified
Feb 1, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Beds
50

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1227 E Rusholme St
Fl 3
Davenport, IA 52803
Phone (563) 468-2000

Ownership & related parties

All disclosed owners & managing parties 8

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 22, 2004 100%
Operational/Managerial Control Jan 22, 2004 100%
Martin F Jackson Individual Corporate Officer Apr 27, 2006
Robert a Ortenzio Individual Corporate Officer Apr 27, 2006
Corporate Director Apr 27, 2006
Codie Dillie Individual Corporate OfficerCeo Feb 15, 2021
W-2 Managing EmployeeCeo Feb 15, 2021
Operational/Managerial ControlCeo Feb 15, 2021
David S Chernow Individual Corporate Officer Jun 1, 2011
Select Specialty Hospitals Inc Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Jan 22, 2004 100%
Michael E Tarvin Individual Corporate Officer Apr 27, 2006
John Duggan Individual Corporate Officer Apr 27, 2006

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, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

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": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1598712903",
    "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",
            "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": "1227 E RUSHOLME ST FL 3",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032459",
            "telephone_number": "563-468-2000",
            "fax_number": "563-386-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - QUAD CITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "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": "IA",
            "license": "820121H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.