CCN: 145791 NPI: 1861977019 Organization

FIRESIDE HOUSE OF CENTRALIA

1030 MARTIN LUTHER KING DR
CENTRALIA, IL 628013002

Contact Information

Phone 6185321308
Enumeration Date 2018-10-03
Last Updated 2018-10-03

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9818032797

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9802564842

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0014920318

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.992

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.992

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 1.021304566

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9844718024

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9802457176

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.