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Contact Information

PAM SQUARED AT BEAUMONT, LLC
3340 PLAZA 10 DR
BEAUMONT, TX77707-2551
 Phone: 409-835-0835
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Hospital

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

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
 

Special Hospital

284300000X A0[7] Hospital-Specialty Hospital (cardiac, orthopedic, surgical)
Indicates primary specialty

NPI Profile & details for PAM SQUARED AT BEAUMONT, LLC

NPI Number 1831550680
LBN Legal business name PAM SQUARED AT BEAUMONT, LLC
Authorized official ANTHONY MISITANO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2016
Last updated 02/06/2025 - More than a year ago
Identifiers
TX Medicaid 367514201
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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