CCN: 435094 NPI: 1003803818 Organization

Wakonda Heritage Manor

515 OHIO ST
WAKONDA, SD 570732013

Contact Information

Phone 6052672081
Fax 6052672690
Enumeration Date 2005-10-06
Last Updated 2013-07-10

Taxonomies

Code: 314000000X (Primary) License State: SD License: 10701

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 0.9937964169

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 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

vbpAdjustment 0.984064955

censusDivision 6

cbsaActualGeographicLocation 43

providerType 38

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