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  • 215031
CCN: 215031 NPI: 1043896814 Organization

AUTUMN LAKE HEALTHCARE AT LONG GREEN

115 E MELROSE AVE
BALTIMORE, MD 212122945

Contact Information

  • Phone 8775670402
  • Enumeration Date 2021-03-22
  • Last Updated 2021-03-22

Taxonomies

  • Code: 385H00000X
  • Code: 313M00000X
  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 3
cbsaActualGeographicLocation 12580
providerType 38
vbpAdjustment 0.987261385
censusDivision 3
cbsaActualGeographicLocation 12580
providerType 38
vbpAdjustment 0.9921935203
censusDivision 0
cbsaActualGeographicLocation 12580
providerType 38
vbpAdjustment 0.9802538758
censusDivision 0
cbsaActualGeographicLocation 12580
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 12580
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 12580
providerType 38
vbpAdjustment 1.0029126993
censusDivision 0
cbsaActualGeographicLocation 12580
providerType 38
vbpAdjustment 0.9881030106
censusDivision 0
cbsaActualGeographicLocation 12580
providerType 38
vbpAdjustment 0.9894925477

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 12580
providerType 38
operatingCostToChargeRatio 0.001
carrierCode 12302
localityCode 01
cbsaActualGeographicLocation 12580
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 12302
localityCode 01
cbsaActualGeographicLocation 12580
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 12302
localityCode 01
cbsaActualGeographicLocation 12580
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 12302
localityCode 01
cbsaActualGeographicLocation 12580
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 12302
localityCode 01
cbsaActualGeographicLocation 12580
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 12302
localityCode 01

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