CCN: 235614 NPI: 1568554566 Organization

Covenant Village of the Great Lakes

2520 LAKE MICHIGAN DRIVE NW
GRAND RAPIDS, MI 495044696

Contact Information

Phone 6167354541
Fax 6167355900
Enumeration Date 2006-09-28
Last Updated 2020-01-28

Taxonomies

Code: 314000000X (Primary) License State: MI License: 414382

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.9858705609

censusDivision 3

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.9802564842

censusDivision 0

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.9832546032

censusDivision 0

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.980278308

censusDivision 0

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.9803449243

censusDivision 0

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.9813525043

censusDivision 0

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.9813525043

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.