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  • 045305
CCN: 045305 NPI: 1457669640 Organization

SOUTHERN TRACE REHABILITATION AND CARE CENTER

22515 INTERSTATE 30 S
BRYANT, AR 720222564

Contact Information

  • Phone 5018470777
  • Fax 5018475276
  • Enumeration Date 2010-09-22
  • Last Updated 2026-03-11

Taxonomies

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

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 30780
providerType 38
vbpAdjustment 0.9879957503
censusDivision 7
cbsaActualGeographicLocation 30780
providerType 38
vbpAdjustment 0.9884637817
censusDivision 7
cbsaActualGeographicLocation 30780
providerType 38
vbpAdjustment 0.9802538758
censusDivision 7
cbsaActualGeographicLocation 30780
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 30780
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 30780
providerType 38
vbpAdjustment 1.0135402058
censusDivision 7
cbsaActualGeographicLocation 30780
providerType 38
vbpAdjustment 1.0094680791
censusDivision 7
cbsaActualGeographicLocation 30780
providerType 38
vbpAdjustment 0.9933848541

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 30780
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 30780
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 30780
providerType 38
operatingCostToChargeRatio 0.001
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 30780
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 30780
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 30780
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 30780
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 30780
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13

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