CCN: 285198 NPI: 1164403952 Organization

GOOD SAMARITAN SOCIETY - WOOD RIVER

1401 EAST ST
WOOD RIVER, NE 688839199

Contact Information

Phone 3085832214
Fax 3085832181
Enumeration Date 2005-11-08
Last Updated 2013-01-17

Taxonomies

Code: 332BN1400X
Code: 332BP3500X
Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 24260

providerType 38

vbpAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 24260

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 24260

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 24260

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 05402

localityCode 00