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  • 145685
CCN: 145685 NPI: 1033107248 Organization

MOUNT VERNON COUNTRYSIDE MANOR

606 E IL HIGHWAY 15
MOUNT VERNON, IL 628645072

Contact Information

  • Phone 6182421800
  • Fax 6182429080
  • Enumeration Date 2005-10-11
  • Last Updated 2024-03-18

Taxonomies

  • Code: 314000000X (Primary) License State: IL License: 1656261

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 5
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 0.9814125344
censusDivision 5
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 0.9802564842
censusDivision 0
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 0.9802538758
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 1.0035759217
censusDivision 0
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 1.0185885629
censusDivision 0
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 14
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 99
cbsaActualGeographicLocation 14
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 99
cbsaActualGeographicLocation 14
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 99
cbsaActualGeographicLocation 14
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 99
cbsaActualGeographicLocation 14
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 99

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