Organization
SELECT SPECIALTY HOSPITAL - MIDLAND 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
4214 ANDREWS HWY, 3RD FL., MIDLAND, TX 79703-4822
(432) 522-3363
(432) 522-3384
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
007899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54550769
—
TX
01
—
HH1030
BCBS TX
TX
Enumeration date
07/26/2005
Last updated
09/02/2010
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