CCN: 157710 NPI: 1700397478 Organization

PRAIRIE HEALTHCARE SERVICES LLC

5920 HOHMAN AV
HAMMOND, IN 46320

Contact Information

Phone 2192401246
Fax 2192401246
Enumeration Date 2017-10-20
Last Updated 2022-07-21

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

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

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 23844

providerType 36

specialPaymentIndicator

carrierCode 08102

localityCode 00