PAM SQUARED AT BEAUMONT LLC NPI 1831550680

NPI Information

  • NPI: 1831550680
  • Provider Name: PAM SQUARED AT BEAUMONT, LLC
  • Classification: Rehabilitation Hospital - 283X00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 45D1059545
  • Address: 3340 PLAZA 10 DR
    BEAUMONT, TX
    ZIP 77707
  • Phone: (409) 835-0835

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NPI Details

PAM SQUARED AT BEAUMONT, LLC is a rehabilitation hospital in Beaumont, TX. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. PAM SQUARED AT BEAUMONT, LLC NPI is 1831550680. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3340 PLAZA 10 DR
BEAUMONT, TX
ZIP 77707-551
Phone: (409) 835-0835

The provider's authorized official is Anthony 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 45D1059545 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/8/2016 and was last updated on 2/6/2025.

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
1261QR0400XClinic/CenterRehabilitationNo
2283X00000XRehabilitation HospitalYes
3284300000XSpecial HospitalNo

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
1367514201MEDICAIDTEXAS

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: 3/30/2025

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