CCN: 043034 NPI: 1700959905 Organization

SOUTHEAST REHABILITATION HOSPITAL

905 BORGOGNONI DR
LAKE VILLAGE, AR 716531623

Contact Information

Phone 3186659950
Fax 3186650379
Enumeration Date 2006-11-16
Last Updated 2025-11-07

Taxonomies

Code: 283X00000X (Primary) License State: AR License: AR4376

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.365

medicaidRatio 0.0014

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.365

medicaidRatio 0.0014

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.365

medicaidRatio 0.0014

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.365

medicaidRatio 0.0128

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.384

medicaidRatio 0.0128

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.384

medicaidRatio 0.0128

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.384

medicaidRatio 0.0128

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.384

medicaidRatio 0.0186

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.488

medicaidRatio 0.0186

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.488

medicaidRatio 0.0186

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.488

medicaidRatio 0.0186

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.488

medicaidRatio 0.0033

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.618

medicaidRatio 0.0033

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.618

medicaidRatio 0.0033

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.618

medicaidRatio 0.0033

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.618

medicaidRatio 0.0296

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.402

medicaidRatio 0.0296

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.402

medicaidRatio 0.0296

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.402

medicaidRatio 0.0296

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.402

medicaidRatio 0.0572

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.402

medicaidRatio 0.0572

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.402

medicaidRatio 0.0572

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.402

medicaidRatio 0.0572

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.516

medicaidRatio 0.0572

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.516

medicaidRatio 0.0572

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.516

medicaidRatio 0.0529

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.516

medicaidRatio 0.0529

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.543

medicaidRatio 0.0529

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.543

medicaidRatio 0.0529

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.543

medicaidRatio 0.0529

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.543

medicaidRatio 0.0311

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.584

medicaidRatio 0.0311

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.584

medicaidRatio 0.0311

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.584

medicaidRatio 0.0311

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.584

medicaidRatio 0.0424

censusDivision 7

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.663

medicaidRatio 0.0424

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.23

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.21

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.21

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.19

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.19

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.19

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.19

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.19

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.19

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.19

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.186

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.186

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.186

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.194

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.194

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.186

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 04

operatingCostToChargeRatio 0.186

specialPaymentIndicator

carrierCode 07102

localityCode 13

SOUTHEAST REHABILITATION HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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