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  • 355123
CCN: 355123 NPI: 1043451123 Organization

BETHANY ON 42ND

201 UNIVERSITY DR S
FARGO, ND 581031775

Contact Information

  • Phone 7012393000
  • Fax 7012393237
  • Enumeration Date 2009-03-18
  • Last Updated 2010-02-22

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 22020
providerType 38
vbpAdjustment 0.9907161121
censusDivision 4
cbsaActualGeographicLocation 22020
providerType 38
vbpAdjustment 0.9822942011
censusDivision 4
cbsaActualGeographicLocation 22020
providerType 38
vbpAdjustment 0.9879630739
censusDivision 0
cbsaActualGeographicLocation 22020
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 22020
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 22020
providerType 38
vbpAdjustment 0.9886990709
censusDivision 0
cbsaActualGeographicLocation 22020
providerType 38
vbpAdjustment 0.9807007595
censusDivision 0
cbsaActualGeographicLocation 22020
providerType 38
vbpAdjustment 0.9812403236
censusDivision 0
cbsaActualGeographicLocation 22020
providerType 38
vbpAdjustment 0.9812403236

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 22020
providerType 38
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 22020
providerType 38
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 22020
providerType 38
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 22020
providerType 38
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 22020
providerType 38
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 22020
providerType 38
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 22020
providerType 38
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 22020
providerType 38
specialPaymentIndicator
carrierCode 03302
localityCode 01
cbsaActualGeographicLocation 22020
providerType 38
specialPaymentIndicator
carrierCode 03302
localityCode 01

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