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  • 145798
CCN: 145798 NPI: 1386966919 Organization

COUNTRYSIDE NURSING & REHAB CTR

1635 E 154TH ST
DOLTON, IL 604193001

Contact Information

  • Phone 7088419550
  • Fax 7088414517
  • Enumeration Date 2010-02-24
  • Last Updated 2010-02-24

Taxonomies

  • Code: 314000000X (Primary) License State: IL License: 0050708

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 5
cbsaActualGeographicLocation 16984
providerType 38
vbpAdjustment 0.9880617612
censusDivision 5
cbsaActualGeographicLocation 16984
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 16984
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 16984
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 16984
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 16984
providerType 38
vbpAdjustment 0.980278308
censusDivision 0
cbsaActualGeographicLocation 16974
providerType 38
vbpAdjustment 0.9930969947
censusDivision 0
cbsaActualGeographicLocation 16974
providerType 38
vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 16984
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 16
cbsaActualGeographicLocation 16984
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 16
cbsaActualGeographicLocation 16974
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 16
cbsaActualGeographicLocation 16974
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 16
cbsaActualGeographicLocation 16974
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 16

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