CCN: 467360 NPI: 1104319268 Organization

Star Kids Pediatric Home Health

131 S 700 E STE 101
AMERICAN FORK, UT 840032483

Contact Information

Phone 8013618578
Fax 8017851012
Enumeration Date 2018-06-12
Last Updated 2021-04-30

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 39340

providerType 36

specialPaymentIndicator

carrierCode 03502

localityCode 09