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  • 375572
CCN: 375572 NPI: 1417675471 Organization

BEACON RIDGE

102 E LINE AVE
SAPULPA, OK 740662858

Contact Information

  • Phone 9182161811
  • Fax 9185146709
  • Enumeration Date 2022-08-16
  • Last Updated 2023-01-05

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 46140
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 46140
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 46140
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 46140
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 46140
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 46140
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 46140
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 46140
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 46140
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 46140
providerType 38

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 46140
providerType 38
specialPaymentIndicator
carrierCode 04312
localityCode 00
cbsaActualGeographicLocation 46140
providerType 38
carrierCode 04312
localityCode 00
cbsaActualGeographicLocation 46140
providerType 38
specialPaymentIndicator
carrierCode 04312
localityCode 00
cbsaActualGeographicLocation 46140
providerType 38
specialPaymentIndicator
carrierCode 04312
localityCode 00
cbsaActualGeographicLocation 46140
providerType 38
specialPaymentIndicator
carrierCode 04312
localityCode 00
cbsaActualGeographicLocation 46140
providerType 38
specialPaymentIndicator
carrierCode 04312
localityCode 00

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