| Name: | Select Specialty Hospitals, Inc |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 23 Jun 1998 (26 years ago) |
| Entity Number: | 000-917-475 |
| Register Number: | 000917475 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 4716 OLD GETTYSBURG RDMECHANICSBURG, PA 17055 |
| Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487652616 | 2005-07-12 | 2015-07-07 | 4714 GETTYSBURG RD, LEGAL DEPT., MECHANICSBURG, PA, 170554325, US | 2010 BROOKWOOD MEDICAL CTR DR, 3RD FLOOR, BIRMINGHAM, AL, 352096804, US | |||||||||||||||||||||||||||||
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| Phone | +1 717-972-1100 |
| Fax | 7179759981 |
| Phone | +1 205-599-4595 |
| Fax | 2055994614 |
Authorized person
| Name | MR. MICHAEL E. TARVIN |
| Role | VICE PRESIDENT |
| Phone | 7179721100 |
Taxonomy
| Taxonomy Code | 282E00000X - Long Term Care Hospital |
| License Number | 4329 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS AL |
| Number | 010035 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
