CCN: 146188 NPI: 1225768799 Organization

BRIA OF SMITHTON

107 S LINCOLN ST
SMITHTON, IL 622851617

Contact Information

Phone 6182354600
Fax 6182334662
Enumeration Date 2022-06-16
Last Updated 2022-06-27

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

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

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 41180

providerType 38

specialPaymentIndicator

carrierCode 06102

localityCode 12