POST ACUTE MEDICAL AT VICTORIA LLC NPI 1659316115

NPI Information

NPI: 1659316115
Provider Name: POST ACUTE MEDICAL AT VICTORIA LLC

Doing Business As: PAM SPECIALTY HOSPITAL OF VICTORIA SOUTHEAST

Classification: Special Hospital - 284300000X
Entity Type: Organization

Address:
102 MEDICAL DR
VICTORIA, TX
ZIP 77904
Phone: (361) 576-6200
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POST ACUTE MEDICAL AT VICTORIA LLC is a special hospital in Victoria, TX. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. POST ACUTE MEDICAL AT VICTORIA LLC NPI is 1659316115. The provider is registered as an organization entity type.
The provider Is Doing Business As Pam Specialty Hospital Of Victoria Southeast.

The provider's business location address is:

102 MEDICAL DR
VICTORIA, TX
ZIP 77904-101
Phone: (361) 576-6200
Fax: (361) 572-9296

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 45D0945501 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 2/7/2023.

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	License Number	License State	Primary
1	273Y00000X	Rehabilitation Unit			No
2	282E00000X	Long Term Care Hospital			No
3	284300000X	Special Hospital	000831	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
1	0211807-02	MEDICAID	TEXAS
2	1991838-01	MEDICAID	TEXAS
3	1991838-03	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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