CCN: 145655 NPI: 1023748597 Organization

BRIA OF WOODRIVER

393 E EDWARDSVILLE RD
WOOD RIVER, IL 620951646

Contact Information

Phone 6182594111
Fax 6182595791
Enumeration Date 2022-06-16
Last Updated 2024-10-16

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 41180

providerType 38

vbpAdjustment 0.9806709526

censusDivision 3

cbsaActualGeographicLocation 41180

providerType 38

vbpAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 41180

providerType 38

vbpAdjustment 0.9827958642

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 1.0174327621

censusDivision 0

cbsaActualGeographicLocation 41180

providerType 38

vbpAdjustment 0.9803449243

censusDivision 0

cbsaActualGeographicLocation 41180

providerType 38

vbpAdjustment 0.9808431162

censusDivision 0

cbsaActualGeographicLocation 41180

providerType 38

vbpAdjustment 0.9808431162

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.