CCN: 165475 NPI: 1669431417 Organization

Wellington Place

2479 RIVER RD
DECORAH, IA 521017596

Contact Information

Phone 5633829691
Fax 5633829694
Enumeration Date 2006-03-21
Last Updated 2010-03-12

Taxonomies

Code: 314000000X (Primary) License State: IA License: 960443

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9808740302

censusDivision 4

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9811650791

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9837480702

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 1.0093647452

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9807933259

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9813350753

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9813350753

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.