Select Specialty Hospital - Grand Rapids

LBN: Great Lakes Specialty Hospital - Oak Llc
Select Specialty Hospital - Grand Rapids is an health care organization with primary practice located at 200 Jefferson Ave Se 5Th Floor, Grand Rapids MI 49503-4502. The organization recently has only one registered license in Hospitals / Long Term Care Hospital, which is considered as the primary health care specialty. Great Lakes Specialty Hospital - Oak Llc can be contacted via phone (231) 777-6202, or through Tarvin, Michael via phone (717) 972-1100.

Contact Information

Primary practice address
200 Jefferson Ave Se 5Th Floor Grand Rapids MI 49503-4502
Phone: (231) 777-6202
Fax: (231) 777-6207
Website:
Map and Directions
Authorized official contact:
Name: Tarvin, Michael
Phone: (717) 972-1100

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Long Term Care Hospital 282E00000X 610052 Michigan

Profile Details

NPI number 1609800614
LBN Legal business name Great Lakes Specialty Hospital - Oak Llc
DBA Doing business as Select Specialty Hospital - Grand Rapids
Authorized official Tarvin, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Sep 28th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609800614 NPPES
Michigan MEDICAID 4132090

Popular Providers