CCN: 155109 NPI: 1851579486 Organization

BRICKYARD HEALTHCARE - TWELFTH STREET CARE CENTER

811 E 12TH ST
MISHAWAKA, IN 465445408

Contact Information

Phone 5742591917
Enumeration Date 2008-02-06
Last Updated 2022-06-14

Taxonomies

Code: 314000000X (Primary) License State: IN

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

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vbpAdjustment 0.9804692747

censusDivision 3

cbsaActualGeographicLocation 43780

providerType 38

vbpAdjustment 0.9812659624

censusDivision 0

cbsaActualGeographicLocation 43780

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 43780

providerType 38

vbpAdjustment 1.0

censusDivision 0

cbsaActualGeographicLocation 43780

providerType 38

vbpAdjustment 1.0035793825

censusDivision 0

cbsaActualGeographicLocation 43780

providerType 38

vbpAdjustment 0.9927382405

censusDivision 0

cbsaActualGeographicLocation 43780

providerType 38

vbpAdjustment 0.9937705943

censusDivision 0

cbsaActualGeographicLocation 43780

providerType 38

vbpAdjustment 0.9937705943

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.