Organization
SELECT SPECIALTY HOSPITAL - TRICITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DUGGAN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK BLVD, 5TH FLOOR WEST, BRISTOL, TN 37620-7430
(423) 844-5902
(423) 844-5901
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
0000000153
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3147000
BCBS TN
TN
Enumeration date
07/28/2005
Last updated
02/06/2026
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