PAM SQUARED AT TEXARKANA LLC NPI 1225439821

NPI Information

  • NPI: 1225439821
  • Provider Name: PAM SQUARED AT TEXARKANA, LLC
  • Classification: Long Term Care Hospital - 282E00000X
  • Entity Type: Organization
  • Doing Business As: PAM SPECIALTY HOSPITAL OF TEXARKANA NORTH
  • CLIA Number: 45D0937386
  • Address: 2400 SAINT MICHAEL DR
    2ND FLOOR
    TEXARKANA, TX
    ZIP 75503
  • Phone: (903) 614-7600

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NPI Details

PAM SQUARED AT TEXARKANA, LLC is a long term care hospital in Texarkana, TX. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. PAM SQUARED AT TEXARKANA, LLC NPI is 1225439821. The provider is registered as an organization entity type.
The provider Is Doing Business As Pam Specialty Hospital Of Texarkana North.

The provider's business location address is:

2400 SAINT MICHAEL DR
2ND FLOOR
TEXARKANA, TX
ZIP 75503-374
Phone: (903) 614-7600

The provider's authorized official is Anthony F. Misitano .
The authorized official title is President and has the following contact phone number (717) 731-9660.

The CLIA number assigned to this NPI record is 45D0937386 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/15/2014 and was last updated on 8/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282E00000XLong Term Care HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1208169105MEDICAIDARKANSAS
2346138602MEDICAIDTEXAS
3346138601MEDICAIDTEXAS
4200645170 AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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