Organization
SELECT SPECIALTY HOSPITAL - CINCINNATI 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
2139 AUBURN AVE, 3 WEST, CINCINNATI, OH 45219-2906
(513) 487-4103
(513) 487-4106
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
1424
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197110
BCBS OH
OH
01
—
=========
MEDICAL MUTUAL OF OH
OH
05
—
OH-2114027
—
OH
Enumeration date
07/14/2005
Last updated
09/10/2025
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