Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Select Specialty Hospital - Northern Indiana, LLC

Organization Hospitalist Physician · NPI 1336502913

Select Specialty Hospital - Northern Indiana, LLC is a Hospitalist Physician in Mishawaka, Indiana. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

215 W 4th St 2nd Fl
Mishawaka, IN 46544-1917
Phone: (717) 972-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X

Record details

NPI number1336502913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Tarvin — Vp · (717) 972-1100
NPI enumeratedApril 1, 2016
Last updated in NPPESApril 27, 2016
Mailing address4714 Gettysburg Rd, Legal Dept, Mechanicsburg, PA 17055-4325

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