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  • 135011
CCN: 135011 NPI: 1407956253 Organization

GATEWAY TRANSITIONAL CARE CENTER

527 MEMORIAL DRIVE
POCATELLO, ID 832014063

Contact Information

  • Phone 2084783333
  • Fax 2084783331
  • Enumeration Date 2006-09-22
  • Last Updated 2021-03-02

Taxonomies

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

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 0.9908087144
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 1.0177687929
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 0.9906537583
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 0.992
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 0.992
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 0.9951512513
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 1.0029819227
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 0.998717084
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 0.998717084

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 38540
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 38540
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 38540
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 38540
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 38540
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 38540
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 38540
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 38540
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 38540
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00

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