CCN: 165468 NPI: 1740283795 Organization

Eastern Star Masonic Home

715 W MAMIE EISENHOWER AVE
BOONE, IA 500363930

Contact Information

Phone 5154325274
Fax 5154325276
Enumeration Date 2005-05-23
Last Updated 2025-01-27

Taxonomies

Code: 311Z00000X License State: IA License: R-268
Code: 313M00000X License State: IA License: N-0268
Code: 314000000X (Primary) License State: IA License: N-0268

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 11180

providerType 38

vbpAdjustment 1.0068390734

censusDivision 4

cbsaActualGeographicLocation 11180

providerType 38

vbpAdjustment 0.9809006169

censusDivision 6

cbsaActualGeographicLocation 11180

providerType 38

vbpAdjustment 1.0138674351

censusDivision 6

cbsaActualGeographicLocation 11180

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 11180

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 11180

providerType 38

vbpAdjustment 0.980278308

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9804149509

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9895876103

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9895876103

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.