SELECT SPECIALTY HOSPITAL - EVANSVILLE LLC
Long Term Care Hospital
Evansville, Indiana
Provider NPI: 1750380739
Organization Information:Organization Name: SELECT SPECIALTY HOSPITAL - EVANSVILLE LLC
Practice Location:
400 SE 4TH STREET EVANSVILLE, IN 47713 US
Tel: 812-450-5254 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:
400 SE 4TH STREET EVANSVILLE, IN 47713 US
Tel: 812-450-5254 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | IN | 0094433 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
IN-200107080A | IN | 05 | |
BCBS IN | 000000098306 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin