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  • 145418
CCN: 145418 NPI: 1194781807 Organization

AVENUES AT ROYAL OAK

605 E CHURCH ST
KEWANEE, IL 614433503

Contact Information

  • Phone 3098523389
  • Fax 3098531838
  • Enumeration Date 2006-04-21
  • Last Updated 2020-11-18

Taxonomies

  • Code: 314000000X (Primary) License State: IL License: 0046243

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 3
cbsaActualGeographicLocation 19340
providerType 38
vbpAdjustment 0.9896379273
censusDivision 3
cbsaActualGeographicLocation 19340
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 19340
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 19340
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 19340
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 19340
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 19340
providerType 38
vbpAdjustment 0.9878566533
censusDivision 0
cbsaActualGeographicLocation 19340
providerType 38
vbpAdjustment 0.9970511711
censusDivision 0
cbsaActualGeographicLocation 19340
providerType 38
vbpAdjustment 0.9970511711

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 19340
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 99
cbsaActualGeographicLocation 19340
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 99
cbsaActualGeographicLocation 19340
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 99

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