SELECT SPECIALTY HOSPITAL - JACKSON INC
Long Term Care Hospital
Jackson, Mississippi
Provider NPI: 1255330163
Organization Information:Organization Name: SELECT SPECIALTY HOSPITAL - JACKSON INC
Practice Location:
5903 RIDGEWOOD RD JACKSON, MS 39211 US
Tel: 601-376-1099 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:
5903 RIDGEWOOD RD JACKSON, MS 39211 US
Tel: 601-376-1099 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | MS | 22331 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS MS | 20467 | MS | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin