Organization
SELECT SPECIALTY HOSPITAL - JACKSON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DUGGAN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
5903 RIDGEWOOD RD, JACKSON, MS 39211-3700
(601) 376-1099
(601) 376-1013
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
22331
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20467
BCBS MS
MS
Enumeration date
07/21/2005
Last updated
09/10/2025
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