CCN: 146049 NPI: 1992894802 Organization

IROQUOIS RESIDENT HOME, THE

200 E FAIRMAN AVENUE
WATSEKA, IL 609701644

Contact Information

Phone 8154325841
Fax 8154327821
Enumeration Date 2006-10-11
Last Updated 2017-01-31

Taxonomies

Code: 314000000X (Primary) License State: IL License: 0014464

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.9803220281

censusDivision 3

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 1.0022415892

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 1.0010710558

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 1.0013269124

censusDivision 4

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 1.0013269124

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.