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  • 035250
CCN: 035250 NPI: 1265439889 Organization

IMMANUEL CAMPUS OF CARE

11301 N 99TH AVE
PEORIA, AZ 853455466

Contact Information

  • Phone 6239778373
  • Fax 6239744849
  • Enumeration Date 2005-06-29
  • Last Updated 2024-04-16

Taxonomies

  • Code: 310400000X License State: AZ License: ALC4369
  • Code: 314000000X (Primary) License State: AZ License: NCI066

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 8
cbsaActualGeographicLocation 38060
providerType 38
vbpAdjustment 1.0276482076
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
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 0.9893198693

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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