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  • 145759
CCN: 145759 NPI: 1609892793 Organization

AXIOM HEALTHCARE OF ROSICLARE

ROUTE1, BOX 55A
ROSICLARE, IL 62982

Contact Information

  • Phone 6182853655
  • Fax 6182856667
  • Enumeration Date 2006-07-14
  • Last Updated 2020-09-09

Taxonomies

  • Code: 314000000X (Primary) License State: IL License: 0047548

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 3
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 0.9972193585
censusDivision 3
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 1.0
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 1.0
censusDivision 0
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 0.9803449243
censusDivision 0
cbsaActualGeographicLocation 14
providerType 38
vbpAdjustment 0.9802457176
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

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