SELECT SPECIALTY HOSPITAL - BLOOMINGTON INC
Long Term Care Hospital
Bloomington, Indiana
Provider NPI: 1831197904
Organization Information:Organization Name: SELECT SPECIALTY HOSPITAL - BLOOMINGTON INC
Practice Location:
601 W 2ND ST 4TH FLOOR BLOOMINGTON, IN 47402 US
Tel: 812-353-2002 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
601 W 2ND ST 4TH FLOOR BLOOMINGTON, IN 47402 US
Tel: 812-353-2002 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | IN | 003061 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS IN | 000000227863 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin