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PAM II OF COVINGTON LLC NPI 1417930751


NPI Information

NPI: 1417930751
Provider Name: PAM II OF COVINGTON, LLC

Doing Business As: PAM HEALTH SPECIALTY AND REHABILITATION HOSPITAL OF COVINGTON

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 19D0927145

Address:
20050 CRESTWOOD BLVD
COVINGTON, LA
ZIP 70433
Phone: (985) 902-8148
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PAM II OF COVINGTON, LLC is a long term care hospital in Covington, LA. 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 II OF COVINGTON, LLC NPI is 1417930751. The provider is registered as an organization entity type.
The provider Is Doing Business As Pam Health Specialty And Rehabilitation Hospital Of Covington.

The provider's business location address is:

20050 CRESTWOOD BLVD
COVINGTON, LA
ZIP 70433-207
Phone: (985) 902-8148

The provider's authorized official is Karick Stober .
The authorized official title is Chief Financial Officer and has the following contact phone number (717) 731-9660.

The CLIA number assigned to this NPI record is 19D0927145 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 2/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1273Y00000XRehabilitation UnitNo
2283X00000XRehabilitation HospitalNo
3282E00000XLong Term Care Hospital680LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
160739OTHERLOUISIANABLUE CROSS OF LA
21703176MEDICAIDLOUISIANA
309326820MEDICAIDMISSISSIPPI

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.