CCN: 035180 NPI: 1073850319 Organization

HAVEN OF DOUGLAS

1400 N SAN ANTONIO AVE
DOUGLAS, AZ 856072434

Contact Information

Phone 5203647937
Fax 5208059146
Enumeration Date 2013-01-07
Last Updated 2025-05-22

Taxonomies

Code: 314000000X
Code: 314000000X (Primary) License State: AZ License: NCI-2708

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 43420

providerType 38

vbpAdjustment 1.0120174033

censusDivision 8

cbsaActualGeographicLocation 43420

providerType 38

vbpAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 43420

providerType 38

vbpAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 43420

providerType 38

vbpAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 43420

providerType 38

vbpAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 43420

providerType 38

vbpAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 43420

providerType 38

vbpAdjustment 0.980278308

censusDivision 8

cbsaActualGeographicLocation 43420

providerType 38

vbpAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 43420

providerType 38

vbpAdjustment 0.9905209838

censusDivision 8

cbsaActualGeographicLocation 43420

providerType 38

vbpAdjustment 0.9905209838

censusDivision 8

cbsaActualGeographicLocation 43420

providerType 38

vbpAdjustment 0.9905209838

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 43420

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 43420

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 43420

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 43420

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 43420

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 43420

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 43420

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 43420

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 43420

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03102

localityCode 00