CCN: 165561 NPI: 1578674016 Organization

Heritage House

1200 BROOKRIDGE CIR
ATLANTIC, IA 500222304

Contact Information

Phone 7122431850
Enumeration Date 2006-08-31
Last Updated 2012-04-30

Taxonomies

Code: 310400000X License State: IA License: S0055
Code: 314000000X (Primary) License State: IA License: 150075

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 1.0056230816

censusDivision 4

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 1.0031360868

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 1.0

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 1.01560829

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 1.0271919645

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9881559042

censusDivision 6

cbsaActualGeographicLocation 16

providerType 38

vbpAdjustment 0.9881559042

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.