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  • 505493
CCN: 505493 NPI: 1801887641 Organization

PARK SHORE

1630 43RD AVE E
SEATTLE, WA 981126210

Contact Information

  • Phone 2063290770
  • Fax 2063290227
  • Enumeration Date 2005-11-01
  • Last Updated 2025-09-11

Taxonomies

  • Code: 314000000X License State: WA License: 489
  • Code: 310400000X (Primary) License State: WA License: BH 183

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 9
cbsaActualGeographicLocation 42644
providerType 38
caseMixIndex 0.0001
operatingCostToChargeRatio 0.228
vbpAdjustment 1.0212687512
censusDivision 9
cbsaActualGeographicLocation 42644
providerType 38
caseMixIndex 0.0001
operatingCostToChargeRatio 0.228
vbpAdjustment 1.0180656313
censusDivision 9
cbsaActualGeographicLocation 42644
providerType 38
caseMixIndex 0.0001
operatingCostToChargeRatio 0.228
vbpAdjustment 1.0
censusDivision 9
cbsaActualGeographicLocation 42644
providerType 38
caseMixIndex 0.0001
operatingCostToChargeRatio 0.228
vbpAdjustment 0.992
censusDivision 9
cbsaActualGeographicLocation 42644
providerType 38
caseMixIndex 0.0001
operatingCostToChargeRatio 0.228
vbpAdjustment 0.992
censusDivision 9
cbsaActualGeographicLocation 42644
providerType 38
caseMixIndex 0.0001
operatingCostToChargeRatio 0.228
vbpAdjustment 0.9819555768
censusDivision 9
cbsaActualGeographicLocation 42644
providerType 38
caseMixIndex 0.0001
operatingCostToChargeRatio 0.228
vbpAdjustment 1.0103049836
censusDivision 9
cbsaActualGeographicLocation 42644
providerType 38
caseMixIndex 0.0001
operatingCostToChargeRatio 0.228
vbpAdjustment 0.9828947502

Outpatient Payment Attributes (OPSF) View Dictionary →

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
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
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

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