CCN: 235421 NPI: 1942641964 Organization

Medilodge of Port Huron

5635 LAKESHORE RD
FORT GRATIOT, MI 480592817

Contact Information

Phone 8103857447
Fax 8103857114
Enumeration Date 2013-07-08
Last Updated 2014-12-30

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 47664

providerType 38

vbpAdjustment 0.9944805733

censusDivision 3

cbsaActualGeographicLocation 47664

providerType 38

vbpAdjustment 0.9802564842

censusDivision 1

cbsaActualGeographicLocation 47664

providerType 38

vbpAdjustment 0.9802538758

censusDivision 1

cbsaActualGeographicLocation 47664

providerType 38

vbpAdjustment 0.992

censusDivision 1

cbsaActualGeographicLocation 47664

providerType 38

vbpAdjustment 0.992

censusDivision 1

cbsaActualGeographicLocation 47664

providerType 38

vbpAdjustment 0.9820831075

censusDivision 1

cbsaActualGeographicLocation 47664

providerType 38

vbpAdjustment 0.9820036138

censusDivision 1

cbsaActualGeographicLocation 47664

providerType 38

vbpAdjustment 0.9803417249

censusDivision 1

cbsaActualGeographicLocation 47664

providerType 38

vbpAdjustment 0.9803417249

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.