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COVINGTON -AMG SPECIALTY HOSPITAL LLC NPI 1851393458


NPI Information

NPI: 1851393458
Provider Name: COVINGTON -AMG SPECIALTY HOSPITAL, LLC
Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 19D1096149

Address:
195 HIGHLAND PARK ENTRANCE
COVINGTON, LA
ZIP 70433
Phone: (985) 867-3977
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COVINGTON -AMG SPECIALTY HOSPITAL, 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. COVINGTON -AMG SPECIALTY HOSPITAL, LLC NPI is 1851393458. The provider is registered as an organization entity type.

The provider's business location address is:

195 HIGHLAND PARK ENTRANCE
COVINGTON, LA
ZIP 70433-164
Phone: (985) 867-3977
Fax: (985) 867-3979

The provider's authorized official is August Rantz .
The authorized official title is President and has the following contact phone number (337) 269-9566.

The CLIA number assigned to this NPI record is 19D1096149 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 11/9/2015.


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
1282E00000XLong Term Care Hospital526LOUISIANAYes

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
15CW01OTHERLOUISIANAMEDICARE PTN
25CW01MEDICARE PINLOUISIANA
31701963MEDICAIDLOUISIANA
4192051MEDICARE OSCAR/CERTIFICATIONLOUISIANA

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: 11/14/2023

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