CCN: 245513 NPI: 1174511828 Organization

LAKE RIDGE CARE CENTER OF BUFFALO, INC.

310 LAKE BLVD S
BUFFALO, MN 553131456

Contact Information

Phone 7636821434
Fax 7636826419
Enumeration Date 2005-10-07
Last Updated 2023-04-06

Taxonomies

Code: 314000000X (Primary) License State: MN License: 327290

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 33460

providerType 38

vbpAdjustment 0.9903561695

censusDivision 4

cbsaActualGeographicLocation 33460

providerType 38

vbpAdjustment 0.9867931863

censusDivision 6

cbsaActualGeographicLocation 33460

providerType 38

vbpAdjustment 0.9866139612

censusDivision 6

cbsaActualGeographicLocation 33460

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 33460

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 33460

providerType 38

vbpAdjustment 0.9817960156

censusDivision 6

cbsaActualGeographicLocation 33460

providerType 38

vbpAdjustment 0.9803449243

censusDivision 6

cbsaActualGeographicLocation 33460

providerType 38

vbpAdjustment 0.9802457176

censusDivision 6

cbsaActualGeographicLocation 33460

providerType 38

vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 33460

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 33460

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 33460

providerType 38

operatingCostToChargeRatio 0.001

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 33460

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 33460

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 33460

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 33460

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 33460

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

LAKE RIDGE CARE CENTER OF BUFFALO, INC.

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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