Organization
SELECT SPECIALTY HOSPITAL - PHOENIX 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
350 W THOMAS RD, 3RD FLR, PHOENIX, AZ 85013-4409
(602) 406-6802
(602) 406-6891
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
SH190
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459835
—
AZ
01
—
AZ0205610
BCBS AZ
AZ
01
—
IZ0120
HEALTHNET
AZ
Enumeration date
07/26/2005
Last updated
09/10/2025
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