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  • 145601
CCN: 145601 NPI: 1104814490 Organization

AVISTON COUNTRYSIDE MANOR

450 W 1ST ST
AVISTON, IL 622163440

Contact Information

  • Phone 6182287615
  • Fax 6182287632
  • Enumeration Date 2005-10-11
  • Last Updated 2024-03-18

Taxonomies

  • Code: 314000000X (Primary) License State: IL License: 1621197

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 5
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 0.9996036524
censusDivision 5
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 0.9802564842
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 0.9802538758
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 0.9808833069
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 0.9833840446
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 0.9827315923

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 41180
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 12
cbsaActualGeographicLocation 41180
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 12
cbsaActualGeographicLocation 41180
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 12
cbsaActualGeographicLocation 41180
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 12
cbsaActualGeographicLocation 41180
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 12

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