CCN: 135064 NPI: 1023052040 Organization

COUNTRYSIDE CARE & REHABILITATION

1224 8TH ST
RUPERT, ID 833501527

Contact Information

Phone 2084360481
Fax 2084366038
Enumeration Date 2006-06-16
Last Updated 2016-01-18

Taxonomies

Code: 314000000X (Primary) License State: ID License: H26

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 1.026778913

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 0.992

censusDivision 8

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.992

censusDivision 8

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 1.0067778837

censusDivision 8

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 1.0019078979

censusDivision 8

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.9866851912

censusDivision 8

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.9866851912

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

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

COUNTRYSIDE CARE & REHABILITATION

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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