SELECT SPECIALTY HOSPITAL - GULF COAST INC (NPI# 1518967280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518967280 |
| Entity Type | Organization |
| Organization Name | SELECT SPECIALTY HOSPITAL - GULF COAST INC |
| Other Organization Name | SELECT SPECIALTY HOSPITAL - GULF COAST |
| Practice Address |
1520 Broad Ave Gulfport MS 39501-3601 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept. Mechanicsburg PA 17055-4325 |
| Practice Telephone | 2285234820 |
| Practice Fax Number | 2288674830 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | MR. MICHAEL E. TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 22 326 S | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BCBS MS | 20236 | 01 |
| Other Name | Type Code |
|---|---|
| Select Specialty Hospital - Gulf Coast | Doing Business As Name - Organization |
| Street Address |
1520 BROAD AVE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255661203 | Select Employment Services, Inc | Long Term Care Hospital | 1520 Broad Ave, Gulfport, MS 39501-3601 | 2010-01-13 |
| 1417900465 | Canon Hospice-mississippi Inc | Hospice Care, Community Based | 1520 Broad Ave, Suite 500, Gulfport, MS 39501-3601 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255661203 | Select Employment Services, Inc | Long Term Care Hospital | 1520 Broad Ave, Gulfport, MS 39501-3601 | 2010-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730240011 | Regency Hospital of Southern Mississippi LLC | Long Term Care Hospital | 220 27th Avenue, Hattiesburg, MS 39401-7165 | 2006-12-12 |
| 1932168416 | Promise Hospital of Vicksburg Inc | Long Term Care Hospital | 2100 Highway 61 N Fl 6, Vicksburg, MS 39183 | 2006-03-22 |
| 1982606570 | Regency Hospital of Hattiesburg, LLC | Long Term Care Hospital | 125 S 25th Ave, Hattiesburg, MS 39401-6031 | 2005-08-12 |
| 1952303778 | Regency Hospital Company of Meridian, LLC | Long Term Care Hospital | 1102 Constitution Ave, 2nd Floor, Meridian, MS 39301-4001 | 2005-08-11 |
| 1255330163 | Select Specialty Hospital - Jackson Inc | Long Term Care Hospital | 5903 Ridgewood Rd, Jackson, MS 39211-3700 | 2005-07-21 |
| 1124682570 | Kpc Promise Hospital of Vicksburg LLC | Long Term Care Hospital | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2019-04-30 |
| 1619326014 | Select Specialty Hospital - Belhaven, LLC | Long Term Care Hospital | 1225 N State St, Jackson, MS 39202-2064 | 2016-06-07 |
| 1619109535 | Ltac Hospital of Greenwood, LLC | Long Term Care Hospital | 1401 River Rd, 2nd Floor, Greenwood, MS 38930-4030 | 2009-08-11 |
| 1154560290 | Allegiance Specialty Hospital of Greenville, LLC | Long Term Care Hospital | 300 Washington Ave, Greenville, MS 38701-3614 | 2009-02-12 |
| 1275700064 | Forrest County General Hospital | Long Term Care Hospital | 130 Highland Pkwy, Picayune, MS 39466-5574 | 2008-05-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.