Provider Demographics
NPI:1760614911
Name:SIGNATURE PAMPA HOSPITAL
Entity Type:Organization
Organization Name:SIGNATURE PAMPA HOSPITAL
Other - Org Name:PAMPA REGIONAL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:LORENZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-663-5500
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:806-665-3721
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:806-665-3721
Practice Address - Fax:806-663-5655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008329275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit