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  • 365418
CCN: 365418 NPI: 1952887549 Organization

COUNTRYSIDE MANOR NURSING AND REHABILITATION LLC

1865 COUNTRYSIDE DR
FREMONT, OH 434208748

Contact Information

  • Phone 4193342602
  • Fax 4193446287
  • Enumeration Date 2018-07-17
  • Last Updated 2018-07-17

Taxonomies

  • Code: 314000000X (Primary) License State: OH License: 2362N

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 36
providerType 38
vbpAdjustment 0.9805666029
censusDivision 4
cbsaActualGeographicLocation 36
providerType 38
vbpAdjustment 0.9802564842
censusDivision 0
cbsaActualGeographicLocation 36
providerType 38
vbpAdjustment 0.9804635531
censusDivision 0
cbsaActualGeographicLocation 36
providerType 38
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 36
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 36
providerType 38
vbpAdjustment 0.9815275521
censusDivision 0
cbsaActualGeographicLocation 36
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 36
providerType 38
vbpAdjustment 0.9998874615

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 36
providerType 38
specialPaymentIndicator
carrierCode 15202
localityCode 00
cbsaActualGeographicLocation 36
providerType 38
specialPaymentIndicator
carrierCode 15202
localityCode 00
cbsaActualGeographicLocation 36
providerType 38
specialPaymentIndicator
carrierCode 15202
localityCode 00
cbsaActualGeographicLocation 36
providerType 38
specialPaymentIndicator
carrierCode 15202
localityCode 00
cbsaActualGeographicLocation 36
providerType 38
specialPaymentIndicator
carrierCode 15202
localityCode 00

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