CCN: 137016 NPI: 1518287267 Organization

INTERMOUNTAIN HOME CARE OF CASSIA

1501 HILAND AVE STE Z
BURLEY, ID 833182688

Contact Information

Phone 2086788844
Enumeration Date 2010-06-04
Last Updated 2025-01-29

Taxonomies

Code: 251E00000X (Primary) License State: ID License: HH-114

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 13

providerType 36

censusDivision 4

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

censusDivision 4

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

censusDivision 4

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

censusDivision 4

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

censusDivision 4

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

censusDivision 4

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

censusDivision 4

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

censusDivision 4

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

censusDivision 4

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

censusDivision 4

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

censusDivision 4

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

specialPaymentIndicator

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 36

operatingCostToChargeRatio 0.507

specialPaymentIndicator

carrierCode 02202

localityCode 00