CCN: 045396 NPI: 1154541878 Organization

ST JOHNS PLACE OF ARKANSAS, LLC

1400 HIGHWAY 79 167 BYP
FORDYCE, AR 717421728

Contact Information

Phone 8703522104
Fax 8703528969
Enumeration Date 2007-04-26
Last Updated 2023-02-20

Taxonomies

Code: 314000000X (Primary) License State: AR License: 832

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 04

providerType 38

vbpAdjustment 0.9905694154

censusDivision 7

cbsaActualGeographicLocation 04

providerType 38

vbpAdjustment 0.9910246397

censusDivision 7

cbsaActualGeographicLocation 04

providerType 38

vbpAdjustment 0.9803458103

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 0.980278308

censusDivision 7

cbsaActualGeographicLocation 04

providerType 38

vbpAdjustment 0.9843401858

censusDivision 7

cbsaActualGeographicLocation 04

providerType 38

vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

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

ST JOHNS PLACE OF ARKANSAS, LLC

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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