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  • 135132
CCN: 135132 NPI: 1285624064 Organization

IDAHO STATE VETERANS HOME - POCATELLO

1957 ALVIN RICKEN DR
POCATELLO, ID 832012727

Contact Information

  • Phone 2082366340
  • Fax 2082366343
  • Enumeration Date 2005-10-24
  • Last Updated 2024-10-30

Taxonomies

  • Code: 314000000X (Primary) License State: ID License: 92

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 1.0118548302
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 0.9806101684
censusDivision 8
cbsaActualGeographicLocation 38540
providerType 38
vbpAdjustment 0.9806101684

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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