Provider Demographics
NPI:1265763429
Name:SELECT SERVICES, INC.
Entity type:Organization
Organization Name:SELECT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PAYROLL/SETTLEMENTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:YOST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-647-0044
Mailing Address - Street 1:PO BOX 805
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28145-0805
Mailing Address - Country:US
Mailing Address - Phone:704-647-0044
Mailing Address - Fax:704-647-0046
Practice Address - Street 1:220 W RITCHIE RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-8052
Practice Address - Country:US
Practice Address - Phone:704-647-0044
Practice Address - Fax:704-647-0046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage