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  • 525711
CCN: 525711 NPI: 1306281258 Organization

PRIDE TLC THERAPY AND LIVING CAMPUS

7805 BIRCH ST
WESTON, WI 544765219

Contact Information

  • Phone 7152983833
  • Fax 7152984284
  • Enumeration Date 2013-05-06
  • Last Updated 2020-04-09

Taxonomies

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

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 3
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
vbpAdjustment 1.0090883797
censusDivision 3
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
vbpAdjustment 0.9814770553
censusDivision 0
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
vbpAdjustment 0.9802538758
censusDivision 0
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
vbpAdjustment 0.992
censusDivision 0
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
vbpAdjustment 0.980278308
censusDivision 0
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
vbpAdjustment 0.9803449243
censusDivision 0
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
vbpAdjustment 0.980245718
censusDivision 0
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
vbpAdjustment 0.980245718

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
specialPaymentIndicator
carrierCode 06302
localityCode 00
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
specialPaymentIndicator
carrierCode 06302
localityCode 00
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
carrierCode 06302
localityCode 00
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
specialPaymentIndicator
carrierCode 06302
localityCode 00
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
specialPaymentIndicator
carrierCode 06302
localityCode 00
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
specialPaymentIndicator
carrierCode 06302
localityCode 00
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
specialPaymentIndicator
carrierCode 06302
localityCode 00
cbsaActualGeographicLocation 48140
providerType 38
operatingCostToChargeRatio 0.307
specialPaymentIndicator
carrierCode 06302
localityCode 00

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