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  • 245359
CCN: 245359 NPI: 1962531012 Organization

EDENBROOK PINE HAVEN

210 3RD ST NW
PINE ISLAND, MN 559639139

Contact Information

  • Phone 5073568304
  • Fax 5073564400
  • Enumeration Date 2007-03-05
  • Last Updated 2015-06-23

Taxonomies

  • Code: 314000000X (Primary) License State: MN License: 334206

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9896400777
censusDivision 4
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9920040544
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.992
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.992
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.980278308
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.984748053
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9925215714
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9925215714

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 24
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 24
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 24
providerType 38
operatingCostToChargeRatio 0.001
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 24
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 24
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 24
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 24
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 24
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00

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