CCN: 366382 NPI: 1093048936 Organization

SAYBROOK LANDING

2300 CENTER RD
ASHTABULA, OH 440048906

Contact Information

Phone 4406140160
Fax 4406140168
Enumeration Date 2009-09-10
Last Updated 2025-10-02

Taxonomies

Code: 314000000X (Primary) License State: OH License: 2559N

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 17410

providerType 38

vbpAdjustment 0.9837036537

censusDivision 4

cbsaActualGeographicLocation 17410

providerType 38

vbpAdjustment 1.0039357513

censusDivision 4

cbsaActualGeographicLocation 36

providerType 38

vbpAdjustment 1.0144094179

censusDivision 4

cbsaActualGeographicLocation 36

providerType 38

vbpAdjustment 0.992

censusDivision 4

cbsaActualGeographicLocation 36

providerType 38

vbpAdjustment 0.992

censusDivision 4

cbsaActualGeographicLocation 36

providerType 38

vbpAdjustment 0.980278308

censusDivision 4

cbsaActualGeographicLocation 36

providerType 38

vbpAdjustment 0.9803449243

censusDivision 4

cbsaActualGeographicLocation 36

providerType 38

vbpAdjustment 0.9974615618

censusDivision 4

cbsaActualGeographicLocation 36

providerType 38

vbpAdjustment 0.9974615618

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 17410

providerType 38

specialPaymentIndicator

carrierCode 15202

localityCode 00