CCN: 525645 NPI: 1003998790 Organization

LINDENGROVE MUKWONAGO

837 E VETERANS WAY
MUKWONAGO, WI 531491013

Contact Information

Phone 2623636830
Fax 2623636837
Enumeration Date 2006-10-20
Last Updated 2023-07-28

Taxonomies

Code: 314000000X (Primary) License State: WI License: 5002

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 33340

providerType 38

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censusDivision 3

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providerType 38

vbpAdjustment 0.9802564842

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 0.9802538758

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 0.9806954936

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 0.9826310635

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 0.980637688

censusDivision 0

cbsaActualGeographicLocation 33340

providerType 38

vbpAdjustment 0.980637688

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.