Bedrock Billing Try Bedrock Billing for Free
  • Home
  • Providers
  • Medicare
  • 245434
CCN: 245434 NPI: 1609380500 Organization

Bethany On The Lake LLC

1020 LARK ST
ALEXANDRIA, MN 563082219

Contact Information

  • Phone 3207621567
  • Enumeration Date 2017-11-30
  • Last Updated 2019-10-16

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9987766863
censusDivision 4
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0173246425
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0042034229
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 0.9817659829
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0158091124
censusDivision 6
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0158091124

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

Supercharge Your Revenue Cycle Analytics

Access realtime CMS pricing intelligence, accurate fee schedules, and more from our intuitive dashboard or API.

Start Your Free Trial
© 2026 Bedrock Billing. All rights reserved.
Terms of Service • Privacy Policy • Contact