Bedrock Billing Try Bedrock Billing for Free
  • Home
  • Providers
  • Medicare
  • 135133
CCN: 135133 NPI: 1679562011 Organization

IDAHO STATE VETERANS HOME - LEWISTON

821 21ST AVE
LEWISTON, ID 835016389

Contact Information

  • Phone 2087993422
  • Fax 2087993414
  • Enumeration Date 2005-10-18
  • Last Updated 2024-10-30

Taxonomies

  • Code: 314000000X (Primary) License State: ID License: 91

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 8
cbsaActualGeographicLocation 30300
providerType 38
vbpAdjustment 1.0157423867
censusDivision 8
cbsaActualGeographicLocation 30300
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 30300
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 30300
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 30300
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 30300
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 30300
providerType 38
vbpAdjustment 1.0255313874
censusDivision 8
cbsaActualGeographicLocation 30300
providerType 38
vbpAdjustment 0.9888444884
censusDivision 8
cbsaActualGeographicLocation 30300
providerType 38
vbpAdjustment 0.9888444884

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 30300
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 30300
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 30300
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 30300
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 30300
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 30300
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 30300
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 30300
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 30300
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00

Supercharge Your Revenue Cycle Analytics

Access realtime CMS pricing intelligence, accurate fee schedules, and more from our intuitive dashboard or API.

Start Your Free Trial
© 2026 Bedrock Billing. All rights reserved.
Terms of Service • Privacy Policy • Contact