Pam Specialty Hospital of Lufkin, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

PAM SPECIALTY HOSPITAL OF LUFKIN, LLC

Doing business as

PAM Specialty Hospital of Lufkin

Practice address

1201 W Frank Ave Ste D5
Lufkin, TX 75904

Phone

(936) 899-7350

NPI assigned

May 15, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony Misitano

Title

President

Phone

(717) 731-9660

Specialties & licenses 1

Addresses

Other names 1

• PAM Specialty Hospital of Lufkin Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 452031

Legal name

PAM SPECIALTY HOSPITAL OF LUFKIN

Certification status

Terminated Voluntary: merger or closure, Dec 1, 2021

Provider type (POS)

Hospital – Long-term

Participating since

Jan 1, 1994

Last certification

Dec 10, 2021

Beds

26 (14 certified)

Ownership / control type

Private (not for profit)

Most recent change of ownership

Jul 1, 2018 (2 total)

Facility address

1201 Frank St Suite D5
Lufkin, TX 75904

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1083104004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 GOOD HOPE RD STE 102",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE STE D5",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-899-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM SPECIALTY HOSPITAL OF LUFKIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "MISITANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-731-9660"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAM Specialty Hospital of Lufkin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Velta Page, LBSW-MHP
• Pain & Posture Care Centers of America P a
• Wallace E Paker, LPC
• David Patrick Palmer, R. PH.
• David T Palmer, D.D.S
• Larissa Allison Parham, CSW
• Parks Bell, Inc. (Cross Medical)
• Jamie Lynn Parks, FNP-C
• Allison Leann Parrish, MA, LPC
• Haley Parsons, FNP-C

• Long Term Care Hospital in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Long Term Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.