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  • 361636
CCN: 361636 NPI: 1215077870 Organization

GRAND LAKE HOSPICE

1122 E SPRING ST
SAINT MARYS, OH 458852402

Contact Information

  • Phone 4193947434
  • Fax 4193946503
  • Enumeration Date 2007-02-06
  • Last Updated 2024-02-06

Taxonomies

  • Code: 251G00000X (Primary) License State: OH License: 0160HSP

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 99936
providerType 35
censusDivision 4
cbsaActualGeographicLocation 99936
providerType 35
censusDivision 4
cbsaActualGeographicLocation 99936
providerType 35
censusDivision 4
cbsaActualGeographicLocation 99936
providerType 35
censusDivision 4
cbsaActualGeographicLocation 99936
providerType 35
censusDivision 4
cbsaActualGeographicLocation 99936
providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 36
providerType 35
specialPaymentIndicator
carrierCode 15202
localityCode 00
cbsaActualGeographicLocation 36
providerType 35
specialPaymentIndicator
carrierCode 15202
localityCode 00

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