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Organization
PAM II OF COVINGTON, LLC
Active
Organization
PAM II OF COVINGTON, LLC
Active
Other names
PAM Health Specialty and Rehabilitation Hospital of Covington, PAM Specialty Hospital of Covington
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARICK STOBER (CHIEF FINANCIAL OFFICER)
(717) 731-9660
Entity
Organization
Contact information
Practice address
20050 CRESTWOOD BLVD, COVINGTON, LA 70433-5207
(985) 902-8148
Mailing address
1828 GOOD HOPE RD, SUITE 102, ENOLA, PA 17025-1233
(717) 731-9660
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
—
—
282E00000X
Long Term Care Hospital
Primary
680
LA
283X00000X
Rehabilitation Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09326820
—
MS
05
—
1703176
—
LA
01
—
60739
BLUE CROSS OF LA
LA
Enumeration date
11/21/2005
Last updated
02/07/2023
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