Organization
SELECT SPECIALTY HOSPITAL - YOUNGSTOWN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44501-1006
(330) 480-3799
(330) 480-4322
Mailing address
4714 GETTYSBURG RD, LEGAL DEPT., MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
1432
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000242333
BCBS OH
OH
01
—
205316300
BLACK LUNG
OH
05
—
2573568
—
OH
01
—
V16691
UPMC
OH
01
—
V16692
UPMC
OH
Enumeration date
07/28/2005
Last updated
09/02/2010
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