CCN: 135067 NPI: 1811614332 Organization

PARADISE CREEK HEALTH AND REHAB OF CASCADIA

640 N EISENHOWER ST
MOSCOW, ID 838439588

Contact Information

Phone 2084019500
Fax 2083140639
Enumeration Date 2022-10-25
Last Updated 2024-01-23

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.9847608209

censusDivision 6

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.9854594428

censusDivision 6

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.9854594428

censusDivision 6

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.9804369512

censusDivision 6

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.9804369512

censusDivision 6

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 1.0188692996

censusDivision 6

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.9878946844

censusDivision 6

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.9820752332

censusDivision 6

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.9820752332

censusDivision 6

cbsaActualGeographicLocation 13

providerType 38

vbpAdjustment 0.9820752332

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 13

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02202

localityCode 00