Basic Information
| Provider Information | |||||||||
| NPI: | 1730736596 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PAM SPECIALTY HOSPITAL OF RENO LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1828 GOOD HOPE RD | ||||||||
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| City: | ENOLA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170251203 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 10101 DOUBLE R BLVD FL 1 | ||||||||
| Address2: | |||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895215931 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753311044 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/26/2019 | ||||||||
| LastUpdateDate: | 08/26/2019 | ||||||||
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| AuthorizedOfficialLastName: | MISITANO | ||||||||
| AuthorizedOfficialFirstName: | ANTHONY | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7177319660 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282E00000X | Y | Hospitals | Long Term Care Hospital |
No ID Information.