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  • 045248
CCN: 045248 NPI: 1285059261 Organization

SOUTHFORK RIVER THERAPY AND LIVING

624 HWY 62/412 WEST
SALEM, AR 725769829

Contact Information

  • Phone 8708953817
  • Fax 8708953009
  • Enumeration Date 2014-02-27
  • Last Updated 2025-08-14

Taxonomies

  • Code: 314000000X (Primary) License State: AR License: 1050

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 0.9894952453
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 0.9835202224
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 1.0020467632
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 1.0033330667
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 0.9803449243
censusDivision 7
cbsaActualGeographicLocation 04
providerType 38
vbpAdjustment 0.9984494977

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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