CCN: 515124 NPI: 1750364139 Organization

PENDLETON MANOR

68 GOOD SAMARITAN DRIVE
FRANKLIN, WV 268070700

Contact Information

Phone 3043582322
Fax 3043582334
Enumeration Date 2005-11-21
Last Updated 2022-03-15

Taxonomies

Code: 332BN1400X
Code: 332BP3500X
Code: 314000000X (Primary) License State: WV License: 66

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 51

providerType 38

vbpAdjustment 1.0069738768

censusDivision 5

cbsaActualGeographicLocation 51

providerType 38

vbpAdjustment 0.9841796365

censusDivision 5

cbsaActualGeographicLocation 51

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 51

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 51

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 51

providerType 38

vbpAdjustment 0.9850975592

censusDivision 6

cbsaActualGeographicLocation 51

providerType 38

vbpAdjustment 1.0164598062

censusDivision 6

cbsaActualGeographicLocation 51

providerType 38

vbpAdjustment 0.9857917725

censusDivision 6

cbsaActualGeographicLocation 51

providerType 38

vbpAdjustment 0.9857917725

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 51

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 11402

localityCode 16