Organization
PAM SQUARED AT TEXARKANA, LLC
Active
Other names
PAM Specialty Hospital of Texarkana South
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY F. MISITANO (PRESIDENT)
(717) 731-9660
Entity
Organization
Contact information
Practice address
1000 PINE ST, 6TH FLOOR, TEXARKANA, TX 75501-5100
(903) 798-7600
Mailing address
1828 GOOD HOPE RD, SUITE 102, ENOLA, PA 17025-1233
(717) 731-9660
(717) 731-9665
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200645170 B
—
OK
05
—
208485105
—
AR
05
—
357622501
—
TX
05
—
357622502
—
TX
Enumeration date
09/15/2014
Last updated
10/20/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us