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  • 035154
CCN: 035154 NPI: 1023007515 Organization

PROVIDENCE PLACE AT GLENCROFT

8641 N 67TH AVE
GLENDALE, AZ 853024308

Contact Information

  • Phone 6239399475
  • Enumeration Date 2005-10-17
  • Last Updated 2008-07-25

Taxonomies

  • Code: 314000000X License State: AZ License: OTC-2874
  • Code: 314000000X (Primary) License State: AZ License: NCI-334

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 0.992888176
censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 0.9851041112
censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 0.992
censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 0.992
censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 0.980278308
censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 1.0103049836
censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 0.9939254056
censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 0.9939254056

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 38060
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03102
localityCode 00
cbsaActualGeographicLocation 38060
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03102
localityCode 00
cbsaActualGeographicLocation 38060
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03102
localityCode 00
cbsaActualGeographicLocation 38060
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03102
localityCode 00
cbsaActualGeographicLocation 38060
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03102
localityCode 00
cbsaActualGeographicLocation 38060
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03102
localityCode 00
cbsaActualGeographicLocation 38060
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03102
localityCode 00
cbsaActualGeographicLocation 38060
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03102
localityCode 00
cbsaActualGeographicLocation 38060
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03102
localityCode 00

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