| Pam Rehabilitation Hospital Of Fargo | |
|
4671 38th St S Fargo ND 58104-7866 | |
| (701) 404-5100 | |
| Not Available |
| Full Name | Pam Rehabilitation Hospital Of Fargo |
|---|---|
| Speciality | Rehabilitation Hospital |
| Location | 4671 38th St S, Fargo, North Dakota |
| Authorized Official Name and Position | Anthony Misitano (PRESIDENT) |
| Authorized Official Contact | 7177319660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pam Rehabilitation Hospital Of Fargo 1828 Good Hope Rd Ste 102 Enola PA 17025-1203 Ph: () - | Pam Rehabilitation Hospital Of Fargo 4671 38th St S Fargo ND 58104-7866 Ph: (701) 404-5100 |
| NPI Number | 1316569874 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 02/28/2023 |
| Medicare PECOS PAC ID | 8325458557 |
|---|---|
| Medicare Enrollment ID | O20201029001354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316569874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 283X00000X | Rehabilitation Hospital | (* (Not Available)) | Primary |
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