CCN: 265330 NPI: 1821085655 Organization

NORTH VILLAGE PARK

2041 SILVA LN
MOBERLY, MO 652703658

Contact Information

Phone 6602631894
Fax 6602630751
Enumeration Date 2005-10-06
Last Updated 2013-05-30

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 26

providerType 38

vbpAdjustment 0.9843982388

censusDivision 4

cbsaActualGeographicLocation 26

providerType 38

vbpAdjustment 0.9802564842

censusDivision 6

cbsaActualGeographicLocation 26

providerType 38

vbpAdjustment 1.0157213749

censusDivision 6

cbsaActualGeographicLocation 26

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 26

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 26

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 26

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 26

providerType 38

vbpAdjustment 0.9805415667

censusDivision 6

cbsaActualGeographicLocation 26

providerType 38

vbpAdjustment 0.9805415667

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.