CCN: 146108 NPI: 1700996972 Organization

MANOR COURT OF PEORIA

6900 N STALWORTH DR
PEORIA, IL 616159488

Contact Information

Phone 3096931400
Fax 3096833561
Enumeration Date 2006-08-30
Last Updated 2008-10-07

Taxonomies

Code: 314000000X (Primary) License State: IL License: 0047068

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

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vbpAdjustment 1.0019408119

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censusDivision 4

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vbpAdjustment 0.992

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 38

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censusDivision 4

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vbpAdjustment 0.980278308

censusDivision 4

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vbpAdjustment 0.9849952899

censusDivision 4

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providerType 38

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censusDivision 4

cbsaActualGeographicLocation 37900

providerType 38

vbpAdjustment 0.9980570308

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.