CCN: 525085 NPI: 1518941798 Organization

EASTCASTLE PL BRADFORD TER CONV CTR

2429 E BRADFORD AVE
MILWAUKEE, WI 532114100

Contact Information

Phone 4149636151
Fax 4143323440
Enumeration Date 2005-12-01
Last Updated 2019-07-16

Taxonomies

Code: 310400000X License State: WI License: 0069
Code: 314000000X (Primary) License State: WI License: 1032

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 1.0099665708

censusDivision 3

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 0.9951641646

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 1.0081706437

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 0.9851668078

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 0.9803449243

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 0.9802457176

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.