CCN: 505377 NPI: 1568429900 Organization

IDA CULVER HOUSE BROADVIEW NCC

12505 GREENWOOD AVE N
SEATTLE, WA 98133

Contact Information

Phone 2063683797
Fax 2063683756
Enumeration Date 2006-04-28
Last Updated 2015-05-28

Taxonomies

Code: 310400000X License State: WA License: 945
Code: 314000000X (Primary) License State: WA License: 1065

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 38

vbpAdjustment 0.982152127

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 42644

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02402

localityCode 02