POST ACUTE SPECIALTY HOSPITAL OF VICTORIA LLC NPI 1417389784

NPI Information

NPI: 1417389784
Provider Name: POST ACUTE SPECIALTY HOSPITAL OF VICTORIA LLC

Doing Business As: PAM SPECIALTY HOSPITAL OF VICTORIA SOUTH

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

Address:
506 E SAN ANTONIO ST
3RD FLOOR
VICTORIA, TX
ZIP 77901
Phone: (361) 575-1445
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POST ACUTE SPECIALTY HOSPITAL OF VICTORIA LLC is a long term care hospital in Victoria, TX. 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. POST ACUTE SPECIALTY HOSPITAL OF VICTORIA LLC NPI is 1417389784. The provider is registered as an organization entity type.
The provider Is Doing Business As Pam Specialty Hospital Of Victoria South.

The provider's business location address is:

506 E SAN ANTONIO ST
3RD FLOOR
VICTORIA, TX
ZIP 77901-060
Phone: (361) 575-1445
Fax: (361) 570-1847

The provider's authorized official is Anthony F 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 45D2172102 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/8/2013 and was last updated on 8/3/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282E00000X	Long Term Care Hospital			TEXAS	Yes

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
1	331384301	MEDICAID	TEXAS
2	331384302	MEDICAID	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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