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  • 145858
CCN: 145858 NPI: 1831138890 Organization

AU WELL CARE HOME, INC

152 WILMA DR
MARYVILLE, IL 620625435

Contact Information

  • Phone 6183447750
  • Fax 6183443520
  • Enumeration Date 2006-06-05
  • Last Updated 2009-06-02

Taxonomies

  • Code: 314000000X (Primary) License State: IL License: 0041210

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 5
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 1.0
censusDivision 5
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 1.0060350693
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 1.0078983261
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 0.9889048915

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 41180
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 12
cbsaActualGeographicLocation 41180
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 12
cbsaActualGeographicLocation 41180
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 12
cbsaActualGeographicLocation 41180
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 12
cbsaActualGeographicLocation 41180
providerType 38
specialPaymentIndicator
carrierCode 06102
localityCode 12

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