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Contact Information

PAM II OF COVINGTON, LLC
20050 CRESTWOOD BLVD
COVINGTON, LA70433-5207
 Phone: 985-902-8148
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
 

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
 

Rehabilitation Unit

273Y00000X A0[7] Hospital-Rehabilitation Unit
Indicates primary specialty

NPI Profile & details for PAM II OF COVINGTON, LLC

NPI # 1417930751
LBN Legal business name PAM II OF COVINGTON, LLC
Authorized official KARICK STOBER - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2005
Last updated 02/07/2023 - About 3 years ago
Identifiers
LA License # 680
LA Medicaid 1703176
MS Medicaid 09326820
LA Other 60739 BLUE CROSS OF LA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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