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CCN: 145897 NPI: 1679550644 Organization

EVERCARE OF LEBANON

1201 N ALTON ST
LEBANON, IL 622541103

Contact Information

  • Phone 6185374401
  • Enumeration Date 2005-12-29
  • Last Updated 2020-09-11

Taxonomies

  • Code: 314000000X (Primary) License State: IL License: 0016964

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 3
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 0.9863167016
censusDivision 3
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 0.9964381537
censusDivision 0
cbsaActualGeographicLocation 41180
providerType 38
vbpAdjustment 0.9964381537

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

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