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  • 045177
CCN: 045177 NPI: 1528213642 Organization

CRESTPARK DEWITT, LLC

1325 LIBERTY DR
DE WITT, AR 720423430

Contact Information

  • Phone 8709463569
  • Fax 8709460699
  • Enumeration Date 2008-11-18
  • Last Updated 2008-11-18

Taxonomies

  • Code: 314000000X (Primary) License State: AR License: 637

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 0.9810518773
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 1.0035549984

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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