Organization
SELECT SPECIALTY HOSPITAL - DANVILLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
100 N ACADEMY AVE, BUSH PAVILION 3, MAIL STOP 4210, DANVILLE, PA 17822-9800
(570) 214-9654
(570) 214-9616
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
6BRF
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108
HIGHMARK
PA
05
—
390310
—
PA
01
—
390803
CAPITAL
PA
01
—
39T803
CAPITAL
PA
01
—
V17519
UMPC
PA
Enumeration date
07/19/2005
Last updated
09/02/2010
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