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Select Specialty Hospital - Charleston Inc

Organization Active NPI Long Term Care Hospital · Charleston, WV

NPI 1912905720 · NPPES record last updated Sep 10, 2025

Key facts

NPI
1912905720
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Hospital 282E00000X
License
160 (WV)
Legal business name
SELECT SPECIALTY HOSPITAL - CHARLESTON INC
Practice address
3200 Maccrokle Ave
SE, 3N and 3 E
Charleston, WV 25304-1614
Phone
(304) 388-6670
Fax
(304) 388-6675
NPI assigned
Jul 14, 2005
Organization subpart
No

Authorized official

Name
Mr. John Duggan
Title
Vice President
Phone
(717) 972-1100

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Member of 1

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

Facilities with the same owner 129

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 129

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Long-term care hospital

Listed as
Select Specialty Hospital - Charleston CCN 512002
Ownership
Non-profit
Certified
Sep 1, 2002
Medicare certification status
Active (Provider of Services file)
Beds
32

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WV

Hospital certification: CCN 512002

Legal name
SELECT SPECIALTY HOSPITAL - CHARLESTON INC
Doing business as
SELECT SPECIALTY HOSPITAL CHARLESTON
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Sep 1, 2002
Last certification
Jul 3, 2009
Beds
32
Ownership / control type
Other
Organization structure
Corporation · Proprietary
Incorporated
Jun 29, 2000 in DE
Enrollment address
3200 Maccrokel Ave
SE, 3Nand 3E
Charleston,, WV 25304
Main/Primary Hospital Location
Hospital subgroups
Long-term

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Frank Weber
Individual 		Corporate Officer
Ceo		 Aug 1, 2022
W-2 Managing Employee
Ceo		 Aug 1, 2022
Operational/Managerial Control
Ceo		 Aug 1, 2022
Select Medical Corporation
Organization · Mechanicsburg, PA
For-profit 		5% Or Greater Indirect Ownership Interest Dec 3, 2010 100%
Operational/Managerial Control Dec 3, 2010 100%
Thomas Mullin
Individual 		Corporate Officer Sep 4, 2025
John Saich
Individual 		Corporate Officer Sep 4, 2025
Robert Breighner
Individual 		W-2 Managing Employee
Compliance Officer		 Sep 4, 2025
Select Specialty Hospitals Inc
Organization · Mechanicsburg, PA
For-profit 		5% Or Greater Direct Ownership Interest Dec 3, 2010 100%
Michael Malatesta
Individual 		Corporate Officer Sep 4, 2025
Robert Kido
Individual 		Corporate Officer Sep 4, 2025
John Duggan
Individual 		Corporate Officer Dec 6, 2006
Corporate Director Sep 4, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060216000472 WV Part a Provider - Hospital 0143235846 Practice locations: Charleston,, WV
O20180305001254 WV Part B Supplier - Clinic/Group Practice 0143235846 Practice locations: Charleston, WV

National Provider Directory

Locations

3200 Maccorkle Ave SE
#3N
Charleston, WV 25304
Phone (304) 388-6670

333 Laidley St
Fl E
Charleston, WV 25301

3200 Maccorkle Ave SE
#3
Charleston, WV 25304
Phone (304) 720-7234

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 160 WV Yes

Addresses

Primary practice location

3200 Maccrokle Ave
SE, 3N and 3 E
Charleston, WV 25304-1614

Mailing address

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

Other providers in Charleston, WV

All providers in Charleston, WV · Long Term Care Hospital in West Virginia

Sources for this page

Verify at the official NPI Registry.