CCN: 525659 NPI: 1912643834 Organization

GRANDE PRAIRIE CARE AND REHAB CTR LLC

10330 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 531581947

Contact Information

Phone 2626122800
Enumeration Date 2022-05-12
Last Updated 2026-01-29

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 28450

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9830814516

censusDivision 4

cbsaActualGeographicLocation 28450

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9802564842

censusDivision 3

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9802538758

censusDivision 3

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.0183086113

censusDivision 3

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9870534523

censusDivision 3

cbsaActualGeographicLocation 29404

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 29404

providerType 38

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 29404

providerType 38

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 29404

providerType 38

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 29404

providerType 38

specialPaymentIndicator

carrierCode 06302

localityCode 00