CCN: 215141 NPI: 1477202547 Organization

AUTUMN LAKE HEALTHCARE AT PATUXENT RIVER

14200 LAUREL PARK DR
LAUREL, MD 207075201

Contact Information

Phone 4107924717
Enumeration Date 2022-03-23
Last Updated 2022-03-23

Taxonomies

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

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 47764

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9889991038

censusDivision 3

cbsaActualGeographicLocation 47764

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9802564842

censusDivision 3

cbsaActualGeographicLocation 47894

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9802538758

censusDivision 3

cbsaActualGeographicLocation 47894

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 47894

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 47894

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 47894

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.0000654769

censusDivision 3

cbsaActualGeographicLocation 47894

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.0006881323

censusDivision 3

cbsaActualGeographicLocation 47894

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.0150541281

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 47894

providerType 38

specialPaymentIndicator

carrierCode 12202

localityCode 01

cbsaActualGeographicLocation 47894

providerType 38

carrierCode 12202

localityCode 01

cbsaActualGeographicLocation 47894

providerType 38

specialPaymentIndicator

carrierCode 12202

localityCode 01

cbsaActualGeographicLocation 47894

providerType 38

specialPaymentIndicator

carrierCode 12202

localityCode 01