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  • 245635
CCN: 245635 NPI: 1760903157 Organization

ST JOHNS ON FOUNTAIN LAKE

1771 EAGLE VIEW CIR
ALBERT LEA, MN 560071817

Contact Information

  • Phone 5073738226
  • Fax 5073799506
  • Enumeration Date 2017-07-06
  • Last Updated 2017-07-06

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9982694681
censusDivision 4
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.9931233785
censusDivision 0
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0128177045
censusDivision 0
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 24
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 24
providerType 38

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 24
providerType 38
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 24
providerType 38
specialPaymentIndicator
carrierCode 06202
localityCode 00
cbsaActualGeographicLocation 24
providerType 38
specialPaymentIndicator
carrierCode 06202
localityCode 00

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