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  • 157550
CCN: 157550 NPI: 1003815275 Organization

PROVIDENCE LIFE SERVICES

10700 PARK PL
SAINT JOHN, IN 463738666

Contact Information

  • Phone 8005092800
  • Fax 2193653524
  • Enumeration Date 2005-07-19
  • Last Updated 2024-01-24

Taxonomies

  • Code: 251E00000X (Primary) License State: IN License: 003435

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
cbsaActualGeographicLocation 23844
providerType 36
censusDivision 4
providerType 36
censusDivision 4
providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 23844
providerType 36
specialPaymentIndicator
carrierCode 08102
localityCode 00
cbsaActualGeographicLocation
providerType 36
specialPaymentIndicator
carrierCode 08102
localityCode 00

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