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Contact Information

SELECT SPECIALTY HOSPITAL - JACKSON INC
5903 RIDGEWOOD RD
JACKSON, MS39211-3700
 Phone: 601-376-1099
 Fax: 601-376-1013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
Indicates primary specialty

NPI Profile & details for SELECT SPECIALTY HOSPITAL - JACKSON INC

NPI # 1255330163
LBN Legal business name SELECT SPECIALTY HOSPITAL - JACKSON INC
Authorized official JOHN DUGGAN - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2005
Last updated 09/10/2025 - About 9 months ago
Identifiers
MS License # 22331
MS Other 20467 BCBS MS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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