CCN: 105808 NPI: 1386229250 Organization

THE PAVILION AT CRESCENT LAKE

100 N LAKE ST
CRESCENT CITY, FL 321122620

Contact Information

Phone 5168651500
Enumeration Date 2021-03-12
Last Updated 2021-03-12

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 10

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 1.006763599

censusDivision 4

cbsaActualGeographicLocation 10

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9842692943

censusDivision 3

cbsaActualGeographicLocation 10

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9802538758

censusDivision 3

cbsaActualGeographicLocation 10

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 10

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 10

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9864583702

censusDivision 3

cbsaActualGeographicLocation 10

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9803449243

censusDivision 3

cbsaActualGeographicLocation 10

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0043579566

censusDivision 3

cbsaActualGeographicLocation 10

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0043579566

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.