CCN: 165539 NPI: 1376549972 Organization

Marian Home

2400 6TH AVE N
FORT DODGE, IA 505013541

Contact Information

Phone 5155761138
Fax 5155765099
Enumeration Date 2005-06-28
Last Updated 2020-08-22

Taxonomies

Code: 314000000X (Primary) License State: IA License: 940496

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 1.0135252941

censusDivision 4

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 1.0180656313

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9802538758

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9979297485

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.997960754

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9884295711

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9884295711

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.