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  • 145294
CCN: 145294 NPI: 1356486732 Organization

PRAIRIE VILLAGE HEALTHCARE CTR

1024 W WALNUT ST
JACKSONVILLE, IL 626501251

Contact Information

  • Phone 2172455175
  • Fax 2172434276
  • Enumeration Date 2007-02-21
  • Last Updated 2010-02-09

Taxonomies

  • Code: 314000000X (Primary) License State: IL License: 0042671

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 5
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 0.9850792599
censusDivision 5
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 0.9802564842
censusDivision 0
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 0.9876708075
censusDivision 0
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 0.9803449243
censusDivision 0
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 14
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 99
cbsaActualGeographicLocation 14
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 99
cbsaActualGeographicLocation 14
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 99
cbsaActualGeographicLocation 14
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 99
cbsaActualGeographicLocation 14
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 99

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