Organization
SELECT SPECIALTY HOSPITAL - COLUMBUS EAST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1139
Entity
Organization
Contact information
Practice address
1492 E BROAD ST, 7TH FLOOR, COLUMBUS, OH 43205-1546
(614) 293-6797
(614) 293-6933
Mailing address
4716 OLD GETTYSBURG RD, LEGAL DEPT., MECHANICSBURG, PA 17055-4325
(717) 972-1139
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
1430
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000251611
BCBS OH
OH
05
—
OH-2366881
—
OH
Enumeration date
07/18/2005
Last updated
04/20/2008
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