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  • 245210
CCN: 245210 NPI: 1184737926 Organization

LAKE MINNETONKA SHORES

4515 SHORELINE DR
SPRING PARK, MN 553848500

Contact Information

  • Phone 9524714001
  • Fax 6516316449
  • Enumeration Date 2006-08-16
  • Last Updated 2025-11-11

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 33460
providerType 38
vbpAdjustment 0.9904683955
censusDivision 4
cbsaActualGeographicLocation 33460
providerType 38
vbpAdjustment 0.9802564842
censusDivision 6
cbsaActualGeographicLocation 33460
providerType 38
vbpAdjustment 1.0170370664
censusDivision 6
cbsaActualGeographicLocation 33460
providerType 38
vbpAdjustment 0.992
censusDivision 6
cbsaActualGeographicLocation 33460
providerType 38
vbpAdjustment 0.992
censusDivision 6
cbsaActualGeographicLocation 33460
providerType 38
vbpAdjustment 1.0075641672
censusDivision 6
cbsaActualGeographicLocation 33460
providerType 38
vbpAdjustment 0.9803449243
censusDivision 6
cbsaActualGeographicLocation 33460
providerType 38
vbpAdjustment 0.9811151045
censusDivision 6
cbsaActualGeographicLocation 33460
providerType 38
vbpAdjustment 0.9811151045

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 33460
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 33460
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 33460
providerType 38
operatingCostToChargeRatio 0.001
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 33460
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 33460
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 33460
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 33460
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 33460
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00

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