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  • 045166
CCN: 045166 NPI: 1518112630 Organization

CRESTPARK WYNNE, LLC

400 ARKANSAS AVE E
WYNNE, AR 723963407

Contact Information

  • Phone 8702387941
  • Fax 8702381989
  • Enumeration Date 2008-11-18
  • Last Updated 2008-11-18

Taxonomies

  • Code: 314000000X (Primary) License State: AR License: 636

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 0.9872290186

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 04
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 04
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 04
providerType 38
operatingCostToChargeRatio 0.001
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 04
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 04
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 04
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 04
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 04
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13

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