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  • 245427
CCN: 245427 NPI: 1174527410 Organization

Bethesda

901 WILLMAR AVE SE
WILLMAR, MN 562014604

Contact Information

  • Phone 3202359532
  • Fax 3202357909
  • Enumeration Date 2005-06-01
  • Last Updated 2010-03-23

Taxonomies

  • Code: 314000000X (Primary) License State: MN License: 326721

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0038541396
censusDivision 4
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9880467067
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0161578531
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 1.0106709354
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9877413363
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9933294248
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9933294248

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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