CCN: 395736 NPI: 1265474910 Organization

WILLOWBROOKE COURT-GRANITE

1343 W BALTIMORE PIKE , GRANITE FARMS ESTATES
MEDIA, PA 190635519

Contact Information

Phone 6103583440
Fax 6103589660
Enumeration Date 2006-06-10
Last Updated 2024-02-20

Taxonomies

Code: 313M00000X License State: PA License: 073602
Code: 314000000X (Primary) License State: PA License: 073602

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 2

cbsaActualGeographicLocation 37964

providerType 38

vbpAdjustment 1.003927798

censusDivision 2

cbsaActualGeographicLocation 37964

providerType 38

vbpAdjustment 1.0

censusDivision 0

cbsaActualGeographicLocation 37964

providerType 38

vbpAdjustment 1.0049893802

censusDivision 0

cbsaActualGeographicLocation 37964

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 37964

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 37964

providerType 38

vbpAdjustment 1.0

censusDivision 0

cbsaActualGeographicLocation 37964

providerType 38

vbpAdjustment 0.9870515231

censusDivision 0

cbsaActualGeographicLocation 37964

providerType 38

vbpAdjustment 0.9803449243

censusDivision 0

cbsaActualGeographicLocation 37964

providerType 38

vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.