CCN: 155262 NPI: 1003838194 Organization

WATERS OF SULLIVAN NURSING FACILITY, THE

505 WEST WOLFE STREET
SULLIVAN, IN 47882

Contact Information

Phone 8122686361
Fax 8122684454
Enumeration Date 2006-07-24
Last Updated 2023-01-30

Taxonomies

Code: 332BN1400X
Code: 332BP3500X License State: IN
Code: 314000000X (Primary) License State: IN License: 06-000163-1

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 45460

providerType 38

vbpAdjustment 0.9876973555

censusDivision 4

cbsaActualGeographicLocation 45460

providerType 38

vbpAdjustment 0.9979628354

censusDivision 4

cbsaActualGeographicLocation 45460

providerType 38

vbpAdjustment 1.0

censusDivision 0

cbsaActualGeographicLocation 45460

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 45460

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 45460

providerType 38

vbpAdjustment 0.9954073607

censusDivision 0

cbsaActualGeographicLocation 45460

providerType 38

vbpAdjustment 0.9803449243

censusDivision 0

cbsaActualGeographicLocation 45460

providerType 38

vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.