CCN: 165442 NPI: 1013904432 Organization

Woodland Terrace

1922 5TH AVE NW
WAVERLY, IA 506771903

Contact Information

Phone 3193524540
Fax 3193522161
Enumeration Date 2005-09-30
Last Updated 2024-07-30

Taxonomies

Code: 253Z00000X
Code: 311500000X License: 090286
Code: 314000000X License State: IA
Code: 313M00000X (Primary) License State: IA License: 090286

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 47940

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9899906795

censusDivision 4

cbsaActualGeographicLocation 47940

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0178594289

censusDivision 6

cbsaActualGeographicLocation 47940

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0106677399

censusDivision 6

cbsaActualGeographicLocation 47940

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 47940

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 47940

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0176695112

censusDivision 6

cbsaActualGeographicLocation 47940

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9803449243

censusDivision 6

cbsaActualGeographicLocation 47940

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9895241693

censusDivision 6

cbsaActualGeographicLocation 47940

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9895241693

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.