CCN: 145665 NPI: 1487026787 Organization

GROVE AT THE LAKE,THE

2534 ELIM AVE
ZION, IL 600992661

Contact Information

Phone 8477468435
Fax 8477461744
Enumeration Date 2015-10-26
Last Updated 2015-10-26

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 29404

providerType 38

vbpAdjustment 0.9855699705

censusDivision 3

cbsaActualGeographicLocation 29404

providerType 38

vbpAdjustment 0.9802564842

censusDivision 0

cbsaActualGeographicLocation 29404

providerType 38

vbpAdjustment 1.0164136079

censusDivision 0

cbsaActualGeographicLocation 29404

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 29404

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 29404

providerType 38

vbpAdjustment 0.9921701942

censusDivision 0

cbsaActualGeographicLocation 29404

providerType 38

vbpAdjustment 1.0257986684

censusDivision 0

cbsaActualGeographicLocation 29404

providerType 38

vbpAdjustment 0.9802457176

censusDivision 0

cbsaActualGeographicLocation 29404

providerType 38

vbpAdjustment 0.9802457176

censusDivision 0

cbsaActualGeographicLocation 29404

providerType 38

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.