CCN: 525539 NPI: 1295866325 Organization

SAINT JOHNS ON THE LAKE

1840 N PROSPECT AVE
MILWAUKEE, WI 532021975

Contact Information

Phone 4142722022
Fax 4148316760
Enumeration Date 2007-03-08
Last Updated 2020-08-22

Taxonomies

Code: 314000000X (Primary) License State: WI License: 2611

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 0.9956696811

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 0.9822310268

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 0.9850653234

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 1.0246661821

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 1.007987287

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 1.007987287

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.