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  • 115348
CCN: 115348 NPI: 1699296988 Organization

ETOWAH LANDING

809 S BROAD ST SW
ROME, GA 301614654

Contact Information

  • Phone 7062351337
  • Enumeration Date 2017-06-28
  • Last Updated 2017-09-04

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 3
cbsaActualGeographicLocation 40660
providerType 38
vbpAdjustment 0.9845133507
censusDivision 3
cbsaActualGeographicLocation 40660
providerType 38
vbpAdjustment 0.9802564842
censusDivision 5
cbsaActualGeographicLocation 40660
providerType 38
vbpAdjustment 0.9802538758
censusDivision 5
cbsaActualGeographicLocation 40660
providerType 38
vbpAdjustment 0.992
censusDivision 5
cbsaActualGeographicLocation 40660
providerType 38
vbpAdjustment 1.0
censusDivision 5
cbsaActualGeographicLocation 40660
providerType 38
vbpAdjustment 0.9821727708
censusDivision 5
cbsaActualGeographicLocation 40660
providerType 38
vbpAdjustment 1.0
censusDivision 5
cbsaActualGeographicLocation 40660
providerType 38
vbpAdjustment 1.0141632718

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 40660
providerType 38
carrierCode 10212
localityCode 99
cbsaActualGeographicLocation 40660
providerType 38
specialPaymentIndicator
carrierCode 10212
localityCode 99
cbsaActualGeographicLocation 40660
providerType 38
specialPaymentIndicator
carrierCode 10212
localityCode 99
cbsaActualGeographicLocation 40660
providerType 38
specialPaymentIndicator
carrierCode 10212
localityCode 99
cbsaActualGeographicLocation 40660
providerType 38
specialPaymentIndicator 1
carrierCode 10212
localityCode 99

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