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Organization

SELECT SPECIALTY HOSPITAL - KNOXVILLE 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
1901 W CLINCH AVE, 4TH FL N, KNOXVILLE, TN 37916-2307
(865) 541-2615
(865) 541-2378
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
00000000149
TN
282E00000X
Long Term Care Hospital
Primary
00000000164
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3103372
BCBS TN
TN
Enumeration date
07/22/2005
Last updated
04/15/2015
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