CCN: 265383 NPI: 1831187152 Organization

FOUNTAINBLEAU LODGE

2001 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 637012127

Contact Information

Phone 5733351999
Enumeration Date 2005-10-11
Last Updated 2020-08-22

Taxonomies

Code: 314000000X (Primary) License State: MO License: 030982

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16020

providerType 38

vbpAdjustment 0.9963472502

censusDivision 4

cbsaActualGeographicLocation 16020

providerType 38

vbpAdjustment 0.9802564842

censusDivision 6

cbsaActualGeographicLocation 16020

providerType 38

vbpAdjustment 0.9802538758

censusDivision 6

cbsaActualGeographicLocation 16020

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 16020

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 16020

providerType 38

vbpAdjustment 0.980278308

censusDivision 6

cbsaActualGeographicLocation 16020

providerType 38

vbpAdjustment 0.9803449243

censusDivision 6

cbsaActualGeographicLocation 16020

providerType 38

vbpAdjustment 0.9802457176

censusDivision 6

cbsaActualGeographicLocation 16020

providerType 38

vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.