Organization
SELECT SPECIALTY HOSPITAL - COLORADO SPRINGS 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
6001 E WOODMEN RD, COLORADO SPRINGS, CO 80923-2601
(719) 667-0898
(719) 667-1289
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
324
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06021SS
BCBS CO
CO
01
—
609377900
CO WORK COMP
CO
01
—
658066
PACIFICARE
CO
Enumeration date
07/07/2005
Last updated
09/02/2010
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