CCN: 275134 NPI: 1356988349 Organization

IVY AT DEER LODGE

1100 TEXAS AVE
DEER LODGE, MT 597221829

Contact Information

Phone 4068461655
Enumeration Date 2019-12-09
Last Updated 2021-01-12

Taxonomies

Code: 225100000X
Code: 225X00000X
Code: 235Z00000X
Code: 332B00000X
Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 27

providerType 38

vbpAdjustment 0.9852036184

censusDivision 8

cbsaActualGeographicLocation 27

providerType 38

vbpAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 27

providerType 38

vbpAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 27

providerType 38

vbpAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 27

providerType 38

vbpAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 27

providerType 38

vbpAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 27

providerType 38

vbpAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 27

providerType 38

vbpAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 27

providerType 38

vbpAdjustment 0.9880708136

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 27

providerType 38

carrierCode 03202

localityCode 01

cbsaActualGeographicLocation 27

providerType 38

specialPaymentIndicator

carrierCode 03202

localityCode 01

cbsaActualGeographicLocation 27

providerType 38

specialPaymentIndicator

carrierCode 03202

localityCode 01

cbsaActualGeographicLocation 27

providerType 38

specialPaymentIndicator

carrierCode 03202

localityCode 01

cbsaActualGeographicLocation 27

providerType 38

specialPaymentIndicator

carrierCode 03202

localityCode 01