CCN: 245615 NPI: 1205077559 Organization

THE GABLES OF BOUTWELLS LANDING

13575 58TH ST. N.
OAK PARK HEIGHTS, MN 550826994

Contact Information

Phone 6514307200
Fax 6514307201
Enumeration Date 2009-03-17
Last Updated 2025-11-11

Taxonomies

Code: 314000000X (Primary) License State: MN License: 343663

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

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cbsaActualGeographicLocation 33460

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censusDivision 6

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providerType 38

vbpAdjustment 0.992

censusDivision 6

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providerType 38

vbpAdjustment 0.992

censusDivision 6

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providerType 38

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censusDivision 6

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censusDivision 6

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vbpAdjustment 1.0104702895

censusDivision 6

cbsaActualGeographicLocation 33460

providerType 38

vbpAdjustment 1.0104702895

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.