CCN: 145728 NPI: 1013904366 Organization

MANOR COURT OF MARYVILLE

6955 STATE ROUTE 162
MARYVILLE, IL 620628531

Contact Information

Phone 6182885999
Fax 6182881106
Enumeration Date 2005-10-03
Last Updated 2011-01-13

Taxonomies

Code: 314000000X (Primary) License State: IL License: 48462

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

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providerType 38

vbpAdjustment 0.992

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providerType 38

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censusDivision 0

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censusDivision 0

cbsaActualGeographicLocation 41180

providerType 38

vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.