CCN: 145220 NPI: 1376840538 Organization

PINE CREST HEALTH CARE

3300 175TH ST
HAZEL CREST, IL 604291604

Contact Information

Phone 7083352400
Fax 7083351825
Enumeration Date 2011-02-23
Last Updated 2017-08-08

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 1.0

censusDivision 5

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 1.0

censusDivision 0

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.9907825277

censusDivision 0

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 1.0

censusDivision 0

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.9836086067

censusDivision 0

cbsaActualGeographicLocation 16974

providerType 38

vbpAdjustment 0.9803449243

censusDivision 0

cbsaActualGeographicLocation 16974

providerType 38

vbpAdjustment 0.9813850271

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16984

providerType 38

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 38

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 38

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 38

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 38

specialPaymentIndicator

carrierCode 06102

localityCode 16