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  • 146158
CCN: 146158 NPI: 1083602031 Organization

HARBOR CREST HOME

817 17TH ST
FULTON, IL 612521020

Contact Information

  • Phone 8155893411
  • Fax 8155894728
  • Enumeration Date 2005-10-12
  • Last Updated 2012-10-23

Taxonomies

  • Code: 313M00000X (Primary) License State: IL License: 0009530

Inpatient Payment Attributes (IPSF) View Dictionary →

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 0.9848543363

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 14
providerType 38
operatingCostToChargeRatio 0.24
specialPaymentIndicator
carrierCode 06102
localityCode 99
cbsaActualGeographicLocation 14
providerType 38
operatingCostToChargeRatio 0.24
specialPaymentIndicator
carrierCode 06102
localityCode 99
cbsaActualGeographicLocation 14
providerType 38
operatingCostToChargeRatio 0.24
specialPaymentIndicator
carrierCode 06102
localityCode 99

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