CCN: 235630 NPI: 1831596907 Organization

Medilodge of Wyoming

2786 56TH ST SW
WYOMING, MI 494188708

Contact Information

Phone 6162613960
Fax 6162613925
Enumeration Date 2014-12-04
Last Updated 2015-07-17

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.9844994391

censusDivision 4

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.9802564842

censusDivision 4

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.9910428676

censusDivision 4

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.992

censusDivision 4

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.992

censusDivision 4

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.9909313385

censusDivision 4

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.9840563073

censusDivision 4

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.9834599619

censusDivision 4

cbsaActualGeographicLocation 24340

providerType 38

vbpAdjustment 0.9834599619

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.