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  • 355112
CCN: 355112 NPI: 1275627184 Organization

WOODSIDE VILLAGE

4000 24TH AVE S
GRAND FORKS, ND 582018863

Contact Information

  • Phone 7017877500
  • Fax 7017877822
  • Enumeration Date 2006-10-03
  • Last Updated 2019-08-22

Taxonomies

  • Code: 314000000X (Primary) License State: ND License: 1077A

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 24220
providerType 38
vbpAdjustment 1.0221012424
censusDivision 4
cbsaActualGeographicLocation 24220
providerType 38
vbpAdjustment 1.0149072076
censusDivision 4
cbsaActualGeographicLocation 24220
providerType 38
vbpAdjustment 1.0041824533
censusDivision 0
cbsaActualGeographicLocation 24220
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 24220
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 24220
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 24220
providerType 38
vbpAdjustment 0.9986276797
censusDivision 0
cbsaActualGeographicLocation 24220
providerType 38
vbpAdjustment 0.9986276797
censusDivision 0
cbsaActualGeographicLocation 24220
providerType 38
vbpAdjustment 1.0113667071

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 24220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 24220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 24220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 24220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 24220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 24220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 24220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 24220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 24220
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03302
localityCode 01

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