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  • 045409
CCN: 045409 NPI: 1588833974 Organization

PRAIRIE GROVE HEALTH AND REHABILITATION, LLC

621 S MOCK ST
PRAIRIE GROVE, AR 727533146

Contact Information

  • Phone 4798462169
  • Enumeration Date 2008-02-29
  • Last Updated 2025-03-13

Taxonomies

  • Code: 314000000X (Primary) License State: AR License: 853

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 22220
providerType 38
vbpAdjustment 0.9815647124
censusDivision 7
cbsaActualGeographicLocation 22220
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 22220
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 22220
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 22220
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 22220
providerType 38
vbpAdjustment 0.9900071406
censusDivision 7
cbsaActualGeographicLocation 22220
providerType 38
vbpAdjustment 0.9859776423
censusDivision 7
cbsaActualGeographicLocation 22220
providerType 38
vbpAdjustment 0.9847979039

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 22220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 22220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 22220
providerType 38
operatingCostToChargeRatio 0.001
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 22220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 22220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 22220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 22220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13
cbsaActualGeographicLocation 22220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 07102
localityCode 13

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