Provider Demographics
NPI:1053581397
Name:SIGNATURE PAMPA HOSPITAL
Entity type:Organization
Organization Name:SIGNATURE PAMPA HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-663-5534
Mailing Address - Street 1:ONE MEDICAL PLAZA
Mailing Address - Street 2:
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-0000
Mailing Address - Country:US
Mailing Address - Phone:806-663-5600
Mailing Address - Fax:806-663-5655
Practice Address - Street 1:ONE MEDICAL PLAZA
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-0000
Practice Address - Country:US
Practice Address - Phone:806-663-5600
Practice Address - Fax:806-663-5655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008329273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45S099Medicare Oscar/Certification