CCN: 265810 NPI: 1982901609 Organization

STONEBRIDGE ADAMS STREET

1024 ADAMS ST
JEFFERSON CITY, MO 651013408

Contact Information

Phone 5736351320
Fax 5736343944
Enumeration Date 2011-02-15
Last Updated 2020-12-01

Taxonomies

Code: 314000000X (Primary) License State: MO

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 27620

providerType 38

vbpAdjustment 0.9804110849

censusDivision 4

cbsaActualGeographicLocation 27620

providerType 38

vbpAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 27620

providerType 38

vbpAdjustment 0.9802538758

censusDivision 7

cbsaActualGeographicLocation 27620

providerType 38

vbpAdjustment 0.992

censusDivision 7

cbsaActualGeographicLocation 27620

providerType 38

vbpAdjustment 0.992

censusDivision 7

cbsaActualGeographicLocation 27620

providerType 38

vbpAdjustment 0.980278308

censusDivision 7

cbsaActualGeographicLocation 27620

providerType 38

vbpAdjustment 0.9803449243

censusDivision 7

cbsaActualGeographicLocation 27620

providerType 38

vbpAdjustment 0.9822628803

censusDivision 7

cbsaActualGeographicLocation 27620

providerType 38

vbpAdjustment 0.9822628803

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.