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  • 035243
CCN: 035243 NPI: 1932105962 Organization

LIFESTREAM AT SUN RIDGE

12215 W BELL RD
SURPRISE, AZ 853789640

Contact Information

  • Phone 6235835482
  • Fax 6235831465
  • Enumeration Date 2005-06-23
  • Last Updated 2013-05-21

Taxonomies

  • Code: 314000000X (Primary) License State: AZ License: NCI-406

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 1.0

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

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