CCN: 525557 NPI: 1780756890 Organization

WOODSIDE LUTHERAN HOME

1040 PILGRIM WAY
GREEN BAY, WI 54304

Contact Information

Phone 9204991481
Fax 9204991501
Enumeration Date 2006-11-14
Last Updated 2023-10-13

Taxonomies

Code: 310400000X
Code: 314000000X (Primary) License State: WI License: 2177

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 24580

providerType 38

vbpAdjustment 1.0169459326

censusDivision 3

cbsaActualGeographicLocation 24580

providerType 38

vbpAdjustment 1.0147171075

censusDivision 0

cbsaActualGeographicLocation 24580

providerType 38

vbpAdjustment 0.9805391593

censusDivision 0

cbsaActualGeographicLocation 24580

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 24580

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 24580

providerType 38

vbpAdjustment 1.0161645226

censusDivision 0

cbsaActualGeographicLocation 24580

providerType 38

vbpAdjustment 0.9803449243

censusDivision 0

cbsaActualGeographicLocation 24580

providerType 38

vbpAdjustment 0.993501341

censusDivision 0

cbsaActualGeographicLocation 24580

providerType 38

vbpAdjustment 0.993501341

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.