CCN: 146171 NPI: 1194133017 Organization

MANOR COURT OF CARBONDALE

2940 W WESTRIDGE PLACE
CARBONDALE, IL 629011082

Contact Information

Phone 6184571010
Fax 6183519226
Enumeration Date 2014-07-23
Last Updated 2014-07-23

Taxonomies

Code: 314000000X (Primary) License State: IL License: 0052894

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 14

providerType 38

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censusDivision 3

cbsaActualGeographicLocation 14

providerType 38

vbpAdjustment 0.981137151

censusDivision 0

cbsaActualGeographicLocation 16060

providerType 38

vbpAdjustment 0.9802538758

censusDivision 0

cbsaActualGeographicLocation 16060

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 16060

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 16060

providerType 38

vbpAdjustment 0.980278308

censusDivision 0

cbsaActualGeographicLocation 16060

providerType 38

vbpAdjustment 0.9803449243

censusDivision 0

cbsaActualGeographicLocation 16060

providerType 38

vbpAdjustment 0.9803255053

censusDivision 0

cbsaActualGeographicLocation 16060

providerType 38

vbpAdjustment 0.9803255053

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.