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  • 150188
CCN: 150188 NPI: 1306274097 Organization

INTERVENTIONAL PAIN MANAGEMENT LLC

208 LEGACY PLZ W
LA PORTE, IN 463505285

Contact Information

  • Phone 2193267246
  • Fax 2193267234
  • Enumeration Date 2013-10-16
  • Last Updated 2025-02-03

Taxonomies

  • Code: 261QA1903X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 33140
providerType 00
operatingCostToChargeRatio 0.238
censusDivision 4
cbsaActualGeographicLocation 33140
providerType 00
operatingCostToChargeRatio 0.246
censusDivision 4
cbsaActualGeographicLocation 33140
providerType 00
operatingCostToChargeRatio 0.246

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 33140
providerType 00
operatingCostToChargeRatio 0.178
specialPaymentIndicator
carrierCode 08102
localityCode 00
cbsaActualGeographicLocation 33140
providerType 00
operatingCostToChargeRatio 0.178
specialPaymentIndicator
carrierCode 08102
localityCode 00
cbsaActualGeographicLocation 33140
providerType 00
operatingCostToChargeRatio 0.178
carrierCode 08102
localityCode 00
cbsaActualGeographicLocation 33140
providerType 00
operatingCostToChargeRatio 0.178
specialPaymentIndicator
carrierCode 08102
localityCode 00
cbsaActualGeographicLocation 33140
providerType 00
operatingCostToChargeRatio 0.178
specialPaymentIndicator
carrierCode 08102
localityCode 00
cbsaActualGeographicLocation 33140
providerType 00
operatingCostToChargeRatio 0.178
specialPaymentIndicator
carrierCode 08102
localityCode 00
cbsaActualGeographicLocation 33140
providerType 00
operatingCostToChargeRatio 0.177
specialPaymentIndicator 1
carrierCode 08102
localityCode 00
cbsaActualGeographicLocation 33140
providerType 00
operatingCostToChargeRatio 0.177
specialPaymentIndicator 1
carrierCode 08102
localityCode 00

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