CCN: 355065 NPI: 1487759593 Organization

SUNSET DRIVE - A PROSPERA COMMUNITY

1011 BOUNDARY ST NW
MANDAN, ND 585541608

Contact Information

Phone 7013231411
Fax 7013231395
Enumeration Date 2006-09-13
Last Updated 2021-11-28

Taxonomies

Code: 314000000X (Primary) License State: ND License: 1092A

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.9875265484

censusDivision 4

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 1.0169778499

censusDivision 4

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.9871113414

censusDivision 0

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.9962358457

censusDivision 0

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 1.0311913097

censusDivision 0

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.9857155637

censusDivision 0

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.9857155637

censusDivision 0

cbsaActualGeographicLocation 13900

providerType 38

vbpAdjustment 0.9857155637

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 13900

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03302

localityCode 01