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  • 135006
CCN: 135006 NPI: 1508105248 Organization

ST LUKE'S ELMORE LONG TERM CARE

895 N 6TH E
MOUNTAIN HOME, ID 836472207

Contact Information

  • Phone 2085802670
  • Enumeration Date 2013-01-31
  • Last Updated 2022-12-08

Taxonomies

  • Code: 314000000X (Primary) License State: ID License: H5

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 8
cbsaActualGeographicLocation 13
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 13
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 13
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 13
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 13
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 13
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 13
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 13
providerType 38
vbpAdjustment 0.98639576
censusDivision 8
cbsaActualGeographicLocation 13
providerType 38
vbpAdjustment 0.98639576

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 13
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 13
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 13
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 13
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 13
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 13
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 13
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 13
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 13
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00

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