CCN: 147259 NPI: 1821043365 Organization

METHODIST HOME HEALTH CERTIFIED

221 NE GLEN OAK AVE
PEORIA, IL 616360001

Contact Information

Phone 3096724887
Fax 3096712541
Enumeration Date 2006-05-23
Last Updated 2019-12-13

Taxonomies

Code: 251E00000X (Primary) License State: IL License: 0001594

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 36

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 36

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 36

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 36

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 36

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 36

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 36

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 36

censusDivision 4

cbsaActualGeographicLocation 37900

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 14

providerType 36

specialPaymentIndicator

carrierCode 06102

localityCode 01