SELECT SPECIALTY HOSPITAL - TRICITIES INC
Long Term Care Hospital
Bristol, Tennessee
Provider NPI: 1588664999
Organization Information:Organization Name: SELECT SPECIALTY HOSPITAL - TRICITIES INC
Practice Location:
1 MEDICAL PARK BLVD 5TH FLOOR WEST BRISTOL, TN 37620 US
Tel: 423-844-5902 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:
1 MEDICAL PARK BLVD 5TH FLOOR WEST BRISTOL, TN 37620 US
Tel: 423-844-5902 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | TN | 0000000153 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS TN | 3147000 | TN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin