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  • 245491
CCN: 245491 NPI: 1528384310 Organization

Moose Lake Village

710 S KENWOOD AVE
MOOSE LAKE, MN 557679405

Contact Information

  • Phone 2184854481
  • Enumeration Date 2010-04-19
  • Last Updated 2025-11-21

Taxonomies

  • Code: 314000000X (Primary) License State: MN License: 349655

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 20260
providerType 38
vbpAdjustment 1.0010738264
censusDivision 4
cbsaActualGeographicLocation 20260
providerType 38
vbpAdjustment 0.9815784911
censusDivision 6
cbsaActualGeographicLocation 20260
providerType 38
vbpAdjustment 1.0
censusDivision 6
cbsaActualGeographicLocation 20260
providerType 38
vbpAdjustment 1.0
censusDivision 6
cbsaActualGeographicLocation 20260
providerType 38
vbpAdjustment 1.0
censusDivision 6
cbsaActualGeographicLocation 20260
providerType 38
vbpAdjustment 1.0100392366
censusDivision 6
cbsaActualGeographicLocation 20260
providerType 38
vbpAdjustment 0.9803449243
censusDivision 6
cbsaActualGeographicLocation 20260
providerType 38
vbpAdjustment 0.9940419607
censusDivision 6
cbsaActualGeographicLocation 20260
providerType 38
vbpAdjustment 0.9940419607

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 20260
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 20260
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 20260
providerType 38
operatingCostToChargeRatio 0.001
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 20260
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 20260
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 20260
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 20260
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 20260
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 06202
localityCode 00

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