Provider Demographics
NPI:1225218688
Name:SELECT SPECIALTY HOSPITAL-DENVER
Entity Type:Organization
Organization Name:SELECT SPECIALTY HOSPITAL-DENVER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:303-563-3747
Mailing Address - Street 1:1719 E 19TH AVE # 5B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1235
Mailing Address - Country:US
Mailing Address - Phone:303-563-3700
Mailing Address - Fax:303-563-3737
Practice Address - Street 1:1719 E 19TH AVE # 5B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1235
Practice Address - Country:US
Practice Address - Phone:303-563-3700
Practice Address - Fax:303-563-3737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0695282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO760292237Medicare UPIN