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  • 245368
CCN: 245368 NPI: 1184662793 Organization

Grand Village

923 HALE LAKE POINTE
GRAND RAPIDS, MN 557449615

Contact Information

  • Phone 2183260543
  • Fax 2183272405
  • Enumeration Date 2006-06-04
  • Last Updated 2020-08-22

Taxonomies

  • Code: 314000000X (Primary) License State: MN License: 331920

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0051835731
censusDivision 4
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0152470074
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9988754525
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 0.9973669546
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0019726353
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9802457176
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9802457176

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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