CCN: 555134 NPI: 1649375403 Organization

MOUNT MIGUEL COVENANT VILLAGE

325 KEMPTON ST
SPRING VALLEY, CA 919775810

Contact Information

Phone 6194794790
Fax 6194792337
Enumeration Date 2006-09-14
Last Updated 2019-07-30

Taxonomies

Code: 314000000X License State: CA License: 090000080
Code: 314000000X (Primary) License State: CA

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

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censusDivision 0

cbsaActualGeographicLocation 41740

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vbpAdjustment 0.9802538758

censusDivision 0

cbsaActualGeographicLocation 41740

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 41740

providerType 38

vbpAdjustment 0.992

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providerType 38

vbpAdjustment 0.980278308

censusDivision 0

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vbpAdjustment 0.9864552307

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cbsaActualGeographicLocation 41740

providerType 38

vbpAdjustment 0.9864552307

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.