CCN: 145441 NPI: 1851387260 Organization

SHELBYVILLE MANOR

1111 WEST NORTH 12TH ST
SHELBYVILLE, IL 625659554

Contact Information

Phone 2177742111
Fax 2177742209
Enumeration Date 2005-09-21
Last Updated 2009-11-06

Taxonomies

Code: 314000000X (Primary) License State: IL License: 1793553

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 1.0101255537

censusDivision 3

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 1.002762785

censusDivision 0

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 1.0160919718

censusDivision 0

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.9869457332

censusDivision 0

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.9813159271

censusDivision 0

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.9817655181

censusDivision 0

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.9817655181

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.