PAM SPECIALTY HOSPITAL OF TEXARKANA NORTH
NPI 1225439821
Long Term Care Hospital in Texarkana, TX

Active since September 15, 2014CLIA 45D0937386 · Accreditation
2400 SAINT MICHAEL DR, 2ND FLOOR, TEXARKANA, TX 75503(903) 614-7600 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pam Specialty Hospital Of Texarkana North NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAM SPECIALTY HOSPITAL OF TEXARKANA NORTH (NPI 1225439821) is a healthcare organization registered as a long term care hospital in Texarkana, Texas and active in the NPI registry since September 2014. The organization holds an CLIA Accreditation certificate valid through August 13, 2027 and lists Anthony F. Misitano, President, as its authorized official.

NPPES Registry Identity

NPI1225439821
Entity TypeOrganization
Primary Taxonomy282E00000X
Legal Business NamePAM SQUARED AT TEXARKANA, LLC
Location Address2400 SAINT MICHAEL DR, 2ND FLOORTexarkana, TX 75503-2374
Mailing Address1828 Good Hope Rd, Suite 102Enola, PA 17025-1233 · (717) 731-9660 · Fax (717) 731-9665
Organization SubpartNo
Authorized OfficialAnthony F. MisitanoPresident · (717) 731-9660
Enumeration DateSeptember 15, 2014
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
NPI 1225439821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLong Term Care HospitalHospitals
Taxonomy Code282E00000X
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
2400 SAINT MICHAEL DR, Texarkana, TX 75503

Other Names 1

Doing Business AsPam Specialty Hospital Of Texarkana North

Other Identifiers 4

Medicaid208169105AR
Medicaid346138602TX
Medicaid346138601TX
Medicaid200645170 AOK

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D0937386

Pam Specialty Hospital Of Texarkana North · Texarkana, TX
Active · expires Aug 13, 2027
CLIA Number45D0937386
Laboratory TypeHospital
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorDewitt C. Fortenberry
Laboratory Phone(903) 614-7600
Laboratory LocationPam Specialty Hospital Of Texarkana North2400 St Michael Drive 2nd Floor, Texarkana, TX 75503
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
2400 SAINT MICHAEL DR
TEXARKANA, TX 75503
Rehabilitation Unit
2400 SAINT MICHAEL DR
TEXARKANA, TX 75503
Long Term Care Hospital
2400 SAINT MICHAEL DR, 2ND FLOOR
TEXARKANA, TX 75503
Physical Therapist
2400 SAINT MICHAEL DR
TEXARKANA, TX 75503
General Practice
2400 SAINT MICHAEL DR
TEXARKANA, TX 75503
Physical Medicine & Rehabilitation
2400 SAINT MICHAEL DR
TEXARKANA, TX 75503
Student in an Organized Health Care Education/Training Program
2400 SAINT MICHAEL DR
TEXARKANA, TX 75503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pam Squared At Texarkana, LLC's NPI number?

The NPI number for Pam Squared At Texarkana, LLC is 1225439821. It was assigned to this organization in the NPPES registry on September 15, 2014. The provider is doing business as Pam Specialty Hospital Of Texarkana North.

Where is Pam Squared At Texarkana, LLC located?

Pam Squared At Texarkana, LLC is located at 2400 Saint Michael Dr 2nd Floor, Texarkana, TX 75503. The listed phone number is (903) 614-7600.

What is Pam Squared At Texarkana, LLC's specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

Does Pam Squared At Texarkana, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D0937386) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pam Squared At Texarkana, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Pam Squared At Texarkana, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pam Squared At Texarkana, LLC was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.