CCN: 525725 NPI: 1669826095 Organization

GRACE LUTH COMMUNITIES-PRAIRIE POINTE REHAB SUITES

286 NORTH WILLSON DR.
ALTOONA, WI 54720

Contact Information

Phone 7158323003
Enumeration Date 2016-04-22
Last Updated 2025-05-12

Taxonomies

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

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 0

cbsaActualGeographicLocation 20740

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 20740

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 20740

providerType 38

vbpAdjustment 1.0114470339

censusDivision 0

cbsaActualGeographicLocation 20740

providerType 38

vbpAdjustment 1.0048581853

censusDivision 0

cbsaActualGeographicLocation 20740

providerType 38

vbpAdjustment 1.0116178941

censusDivision 0

cbsaActualGeographicLocation 20740

providerType 38

vbpAdjustment 1.0116178941

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 20740

providerType 38

specialPaymentIndicator

carrierCode 06302

localityCode 00