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  • 505435
CCN: 505435 NPI: 1891817342 Organization

ELISEO

1301 N HIGHLANDS PKWY
TACOMA, WA 984062116

Contact Information

  • Phone 2537527112
  • Fax 2537527265
  • Enumeration Date 2007-04-04
  • Last Updated 2024-11-06

Taxonomies

  • Code: 310400000X License State: WA License: BH1187
  • Code: 314000000X (Primary) License State: WA License: NH601

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 9
cbsaActualGeographicLocation 45104
providerType 38
vbpAdjustment 1.0051838576
censusDivision 9
cbsaActualGeographicLocation 45104
providerType 38
vbpAdjustment 1.0180656313
censusDivision 9
cbsaActualGeographicLocation 45104
providerType 38
vbpAdjustment 1.0176785153
censusDivision 9
cbsaActualGeographicLocation 45104
providerType 38
vbpAdjustment 0.992
censusDivision 9
cbsaActualGeographicLocation 45104
providerType 38
vbpAdjustment 0.992
censusDivision 9
cbsaActualGeographicLocation 45104
providerType 38
vbpAdjustment 1.021304566
censusDivision 9
cbsaActualGeographicLocation 45104
providerType 38
vbpAdjustment 0.9803449243
censusDivision 9
cbsaActualGeographicLocation 45104
providerType 38
vbpAdjustment 1.0128468846

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 45104
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 02402
localityCode 99
cbsaActualGeographicLocation 45104
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 02402
localityCode 99
cbsaActualGeographicLocation 45104
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 02402
localityCode 99
cbsaActualGeographicLocation 45104
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 02402
localityCode 99
cbsaActualGeographicLocation 45104
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 02402
localityCode 99
cbsaActualGeographicLocation 45104
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 02402
localityCode 99
cbsaActualGeographicLocation 45104
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 02402
localityCode 99
cbsaActualGeographicLocation 45104
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 02402
localityCode 99
cbsaActualGeographicLocation 45104
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 02402
localityCode 99

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