CCN: 255289 NPI: 1962508119 Organization

RIVER CHASE VILLAGE

5090 GAUTIER VANCLEAVE ROAD
GAUTIER, MS 39553

Contact Information

Phone 2285226700
Fax 2285223383
Enumeration Date 2006-09-15
Last Updated 2012-02-16

Taxonomies

Code: 313M00000X (Primary) License State: MS License: 956

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 25060

providerType 38

vbpAdjustment 0.9907037575

censusDivision 5

cbsaActualGeographicLocation 25060

providerType 38

vbpAdjustment 0.9802594396

censusDivision 5

cbsaActualGeographicLocation 25060

providerType 38

vbpAdjustment 0.9811837579

censusDivision 5

cbsaActualGeographicLocation 25060

providerType 38

vbpAdjustment 1.0

censusDivision 5

cbsaActualGeographicLocation 25060

providerType 38

vbpAdjustment 0.992

censusDivision 5

cbsaActualGeographicLocation 25060

providerType 38

vbpAdjustment 0.9807171225

censusDivision 5

cbsaActualGeographicLocation 25060

providerType 38

vbpAdjustment 0.9803449243

censusDivision 5

cbsaActualGeographicLocation 25060

providerType 38

vbpAdjustment 0.980315258

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.