CCN: 165049 NPI: 1861484271 Organization

Ridgecrest Village

4130 NORTHWEST BLVD
DAVENPORT, IA 528064243

Contact Information

Phone 5633913430
Fax 5633883287
Enumeration Date 2005-08-22
Last Updated 2012-01-03

Taxonomies

Code: 313M00000X License State: IA License: N0407
Code: 310400000X License State: IA License: S0139
Code: 311500000X License State: IA License: S0139
Code: 314000000X (Primary) License State: IA License: N0407

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 38

vbpAdjustment 0.9806602597

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 38

vbpAdjustment 0.9802564842

censusDivision 6

cbsaActualGeographicLocation 19340

providerType 38

vbpAdjustment 0.9821862429

censusDivision 6

cbsaActualGeographicLocation 19340

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 19340

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 19340

providerType 38

vbpAdjustment 1.0134417378

censusDivision 6

cbsaActualGeographicLocation 19340

providerType 38

vbpAdjustment 0.9968359091

censusDivision 6

cbsaActualGeographicLocation 19340

providerType 38

vbpAdjustment 0.9802457176

censusDivision 6

cbsaActualGeographicLocation 19340

providerType 38

vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.