CCN: 435068 NPI: 1366008427 Organization

AVANTARA WATERTOWN

415 4TH AVE NE
WATERTOWN, SD 572012614

Contact Information

Phone 6058868431
Fax 6058826777
Enumeration Date 2019-05-14
Last Updated 2019-05-14

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 0.9854258025

censusDivision 4

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 0.9806588251

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 0.9860595832

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 0.9994777396

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 0.9994777396

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 43

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 03402

localityCode 02