Select Specialty Hospital - Longview Inc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

007946 Issued in TX

Legal business name

SELECT SPECIALTY HOSPITAL - LONGVIEW INC

Practice address

700 E Marshall Ave
1St and Ground FL. West
Longview, TX 75601-5580

Phone

(903) 315-1105

Fax

(903) 315-1112

NPI assigned

Jul 22, 2005

Last updated

Sep 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael E. Tarvin

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861492670. Details of each certification follow.

• CCN 452087 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 452087

Legal name

SELECT SPECIALTY HOSPITAL OF LONGVIEW

Certification status

Terminated Voluntary: merger or closure, May 7, 2024

Provider type (POS)

Hospital – Long-term

Participating since

Jun 5, 2003

Last certification

Jan 7, 2022

Beds

32

Ownership / control type

Private (for profit)

Facility address

700 East Marshall Ave First Floor West Wing
Longview, TX 75601

Locations

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1861492670",
    "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": "700 E MARSHALL AVE",
            "address_2": "1ST AND GROUND FL. WEST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015580",
            "telephone_number": "903-315-1105",
            "fax_number": "903-315-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - LONGVIEW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "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": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TX",
            "license": "007946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "HH1085",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• SDS-Bill Owens Pkwy PLLC
• Sandra Lee Searle, LPC
• Select Rehab of East Texas, Inc
• Select Rehab of East Texas, Inc. (Select Medical of East Texas)
• Whitney Lynn Finstad Selph, M.D.
• Sequoia 4 Partners LLC (Interim Healthcare)
• Joshua Serrano, PA-C
• Serve All Medical Longview, PLLC (Clinica Hispana)
• Jerry Serville, CRNA

• Long Term Care Hospital in Longview, TX
• Providers in Longview, TX by specialty
• Long Term Care Hospital in Texas

• 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.