CCN: 075425 NPI: 1891433504 Organization

VANDERMAN PLACE

595 VALLEY ST
WILLIMANTIC, CT 062261901

Contact Information

Phone 8604507060
Enumeration Date 2022-05-23
Last Updated 2022-10-25

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 1

cbsaActualGeographicLocation 35980

providerType 38

vbpAdjustment 0.9862941831

censusDivision 1

cbsaActualGeographicLocation 35980

providerType 38

vbpAdjustment 0.9806834633

censusDivision 1

cbsaActualGeographicLocation 49340

providerType 38

vbpAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 49340

providerType 38

vbpAdjustment 0.992

censusDivision 1

cbsaActualGeographicLocation 49340

providerType 38

vbpAdjustment 0.992

censusDivision 1

cbsaActualGeographicLocation 49340

providerType 38

vbpAdjustment 1.0204784491

censusDivision 1

cbsaActualGeographicLocation 49340

providerType 38

vbpAdjustment 1.0198740567

censusDivision 1

cbsaActualGeographicLocation 49340

providerType 38

vbpAdjustment 0.9994777396

censusDivision 1

cbsaActualGeographicLocation 49340

providerType 38

vbpAdjustment 0.9994777396

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 49340

providerType 38

carrierCode 13102

localityCode 00

cbsaActualGeographicLocation 49340

providerType 38

specialPaymentIndicator

carrierCode 13102

localityCode 00

cbsaActualGeographicLocation 49340

providerType 38

specialPaymentIndicator

carrierCode 13102

localityCode 00