CCN: 325044 NPI: 1952355885 Organization

Mission Arch Center

3200 MISSION ARCH DR
ROSWELL, NM 882018307

Contact Information

Phone 5756242583
Enumeration Date 2006-05-22
Last Updated 2017-03-17

Taxonomies

Code: 311500000X License State: NM License: 1035
Code: 314000000X (Primary) License State: NM License: 1035

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 32

providerType 38

vbpAdjustment 0.9828131147

censusDivision 8

cbsaActualGeographicLocation 32

providerType 38

vbpAdjustment 0.9802564842

censusDivision 8

cbsaActualGeographicLocation 32

providerType 38

vbpAdjustment 0.9822972338

censusDivision 8

cbsaActualGeographicLocation 32

providerType 38

vbpAdjustment 0.992

censusDivision 8

cbsaActualGeographicLocation 32

providerType 38

vbpAdjustment 0.992

censusDivision 8

cbsaActualGeographicLocation 32

providerType 38

vbpAdjustment 0.9805270149

censusDivision 8

cbsaActualGeographicLocation 32

providerType 38

vbpAdjustment 1.025130176

censusDivision 8

cbsaActualGeographicLocation 32

providerType 38

vbpAdjustment 0.980772263

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 32

providerType 38

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 38

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 38

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 32

providerType 38

specialPaymentIndicator

carrierCode 04212

localityCode 05

Mission Arch Center

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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