Entity Name: | SELECT SPECIALTY HOSPITAL - PANAMA CITY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Profit |
Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
Date Filed: | 07 Feb 2002 (23 years ago) |
Last Event: | NAME CHANGE AMENDMENT |
Event Date Filed: | 18 Jan 2005 (20 years ago) |
Document Number: | F02000000698 |
FEI/EIN Number |
383647406
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
Mail Address: | 4714 GETTYSBURG ROAD, LEGAL DEPT, MECHANICSBURG, PA, 17055 |
Place of Formation: | DELAWARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1194725713 | 2005-07-26 | 2010-09-02 | 4714 GETTYSBURG RD, LEGAL DEPT., MECHANICSBURG, PA, 170554325, US | 615 N BONITA AVE, PANAMA CITY, FL, 324013623, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 717-972-1100 |
Fax | 7179759981 |
Phone | +1 850-767-3199 |
Fax | 8507673181 |
Authorized person
Name | MR. MICHAEL E. TARVIN |
Role | VICE PRESIDENT |
Phone | 7179721100 |
Taxonomy
Taxonomy Code | 282E00000X - Long Term Care Hospital |
License Number | 4475 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 0103438-00 |
State | FL |
Issuer | BLUE CROSS FL |
Number | 141 |
State | FL |
Name | Role | Address |
---|---|---|
C T CORPORATION SYSTEM | Agent | - |
Mullin Thomas P | President | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
TARVIN MICHAEL E | Vice President | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
Veit Joel T | Vice President | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
DUGGAN JOHN F | Vice President | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
DUGGAN JOHN F | Assistant Secretary | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2009-04-07 | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA 17055 | - |
CHANGE OF MAILING ADDRESS | 2008-04-02 | 4714 GETTYSBURG ROAD, MECHANICSBURG, PA 17055 | - |
NAME CHANGE AMENDMENT | 2005-01-18 | SELECT SPECIALTY HOSPITAL - PANAMA CITY, INC. | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-26 |
ANNUAL REPORT | 2023-01-23 |
ANNUAL REPORT | 2022-03-10 |
ANNUAL REPORT | 2021-04-07 |
ANNUAL REPORT | 2020-01-15 |
ANNUAL REPORT | 2019-04-24 |
ANNUAL REPORT | 2018-05-01 |
ANNUAL REPORT | 2017-03-02 |
ANNUAL REPORT | 2016-05-20 |
ANNUAL REPORT | 2015-04-29 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State