PRIME HEALTHCARE SERVICES PAMPA LLC (NPI# 1639438146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639438146 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES PAMPA LLC |
| Other Organization Name | PAMPA REGIONAL MEDICAL CENTER |
| Practice Address |
One Medical Plaza Pampa TX 79065-0000 |
| Mailing Address |
3300 E Guasti Rd Suite 300 Ontario CA 91761-8655 |
| Practice Telephone | 8066635600 |
| Practice Fax Number | 8066635655 |
| Mailing Telephone | 9092354400 |
| Mailing Fax Number | 9092354419 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-21 |
| Authorized Official Name | MICHAEL SARRAO (VICE-PRESIDENT) |
| Authorized Official Telephone | 9092354307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Pampa Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993145 | Prime Healthcare Services Pampa LLC | Clinic/Center | 3023 Perryton Pkwy, Pampa, TX 79065-2821 | 2020-05-07 |
| 1740683887 | Prime Healthcare Services Pampa LLC | Medicare Defined Swing Bed Unit | One Medical Plaza, Pampa, TX 79065-0000 | 2014-10-03 |
| 1295088433 | Prime Healthcare Services Pampa LLC | Anesthesiology | 100 W 30th Ave, Pampa, TX 79065-2814 | 2012-10-25 |
| 1225381072 | Prime Healthcare Services Pampa LLC | Obstetrics & Gynecology | 100 W 30th Ave, Suite 106, Pampa, TX 79065-2814 | 2012-10-17 |
| 1386902138 | Prime Healthcare Services Pampa LLC | General Acute Care Hospital | One Medical Plaza, Pampa, TX 79065-2821 | 2012-04-30 |
| Street Address |
ONE MEDICAL PLAZA |
| City | PAMPA |
| State | TX |
| Zip Code | 79065-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649240805 | Joe L Lowry | Pathology | One Medical Plaza, Pampa, TX 79065-2819 | 2006-01-23 |
| 1508479973 | West Texas Pain Specialists, LLC | Pain Medicine | One Medical Plaza, Pampa, TX 79065-2821 | 2020-08-26 |
| 1871139857 | Stacy Lepsch | Nurse Practitioner | One Medical Plaza, Pampa, TX 79065 | 2019-11-25 |
| 1821631573 | Pampa Emergency Medical Group | Emergency Medicine | One Medical Plaza, Pampa, TX 79065 | 2019-10-25 |
| 1164079752 | Derek Smith | Clinical Pharmacology | One Medical Plaza, Pampa, TX 79065 | 2019-08-20 |
| 1265912430 | Houston Duckwall | Dietitian, Registered | One Medical Plaza, Pampa, TX 79065 | 2018-08-17 |
| 1225401516 | Libra Emergency Physicians, Pllc | Physician Assistant | One Medical Plaza, Pampa, TX 79065 | 2015-11-09 |
| 1740683887 | Prime Healthcare Services Pampa LLC | Medicare Defined Swing Bed Unit | One Medical Plaza, Pampa, TX 79065-0000 | 2014-10-03 |
| 1295075976 | Spmg Signature Pampa Medical Group | Anesthesiology | One Medical Plaza, Attn: Pampa Medical Group Clinic Director, Pampa, TX 79065-2814 | 2013-02-18 |
| 1386902138 | Prime Healthcare Services Pampa LLC | General Acute Care Hospital | One Medical Plaza, Pampa, TX 79065-2821 | 2012-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841317690 | Assisted Living Concepts Inc | Assisted Living Facility | 812 W 25th Street, Pampa, TX 79065 | 2007-03-26 |
| 1225154826 | Assisted Living Concepts Inc | Assisted Living Facility | 3005 Ne 2nd Street, Mineral Wells, TX 79065 | 2007-03-22 |
| 1790851426 | Rene P Grabato | Urology | 2931 Perryton Parkway, Pampa, TX 79065 | 2006-11-27 |
| 1467548040 | Vijay Krishnan Mohan | Surgery | 104 E 30th, Pampa, TX 79065 | 2006-10-04 |
| 1114024858 | Shepards Crook Nursing Agency, Inc. | Home Health | 916 Crest Rd, Suite 101, Pampa, TX 79065 | 2006-09-17 |
| 1740391812 | David M. Hampton | Orthopaedic Surgery | 2931 Perryton Pkwy, Pampa, TX 79065 | 2006-08-31 |
| 1386759561 | Pampa Orthopedics and Rehab, Lp | Physical Therapist | 1201 N Hobart, Space 2j, Lubbock, TX 79065 | 2006-08-20 |
| 1124060967 | Steven Day Correa | Internal Medicine | 3023 Perryton Pkwy Ste 202, Pampa, TX 79065 | 2006-06-12 |
| 1215998661 | Gray Emergency Medicine Associates, Pa | Emergency Medicine | 1 Medical Plaza, Pampa, TX 79065 | 2006-03-28 |
| 1265402077 | Iota Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2545 Perryton Pkwy # 2b, Pampa, TX 79065 | 2006-01-24 |
| Find all providers in zip 79065 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053581397 | Signature Pampa Hospital | Psychiatric Unit | One Medical Plaza, Pampa, TX 79065-0000 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184159725 | Veterans Administration | Psychiatric Unit | 4455 Horizon Hill, San Antonio, TX 78229 | 2017-04-20 |
| 1356730345 | Magellan | Psychiatric Unit | 1200 Barton Hills Dr Apt 260, Austin, TX 78704-1913 | 2015-01-14 |
| 1528314499 | Michael E. Debakey Va Medical Center | Psychiatric Unit | 3109 W Oaks Blvd, Pearland, TX 77584-8395 | 2012-07-30 |
| 1174882369 | John Adams, Md Psychiatry Pllc | Psychiatric Unit | 17720 Corporate Woods Drive, San Antonio, TX 78259 | 2012-05-09 |
| 1396055547 | Fdpp Inc | Psychiatric Unit | 9275 Richmond Ave, Suite 103, Houston, TX 77063-3951 | 2010-10-20 |
| 1043449143 | Bay Area Healthcare Group, Ltd. | Psychiatric Unit | 13725 Northwest Boulevard, Corpus Christi, TX 78410-5127 | 2009-07-09 |
| 1194953737 | Tis-therapeutic Intervention Services | Psychiatric Unit | 6715 Seinfeld Ct, Houston, TX 77069-1725 | 2009-06-22 |
| 1093955296 | Aspire Hospital, LLC | Psychiatric Unit | 2006 S Loop 336 W, # 500, Conroe, TX 77304-3315 | 2009-02-27 |
| 1619149234 | North Quaker Hospital, Lp | Psychiatric Unit | 4302 Princeton Street, Second Floor, Lubbock, TX 79415-1304 | 2008-03-25 |
| 1568657583 | Day Surgery At Renaissance, LLC | Psychiatric Unit | 5510 Raphael Dr, Edinburg, TX 78539-1407 | 2007-09-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.