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  • 670174
CCN: 670174 NPI: 1205212313 Organization

PRESTIGE EMERGENCY ROOM

2810 N LOOP 1604 W , SUITE 110
SAN ANTONIO, TX 78248

Contact Information

  • Phone 2105044837
  • Fax 2105044937
  • Enumeration Date 2015-07-31
  • Last Updated 2025-08-04

Taxonomies

  • Code: 261QE0002X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 41700
providerType 00
operatingCostToChargeRatio 0.174
censusDivision 7
cbsaActualGeographicLocation 41700
providerType 00
operatingCostToChargeRatio 0.175
censusDivision 7
cbsaActualGeographicLocation 41700
providerType 00
operatingCostToChargeRatio 0.175
censusDivision 7
cbsaActualGeographicLocation 41700
providerType 00
operatingCostToChargeRatio 0.184

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 41700
providerType 00
operatingCostToChargeRatio 0.15
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 41700
providerType 00
operatingCostToChargeRatio 0.15
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 41700
providerType 00
operatingCostToChargeRatio 0.15
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 41700
providerType 00
operatingCostToChargeRatio 0.15
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 41700
providerType 00
operatingCostToChargeRatio 0.15
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 41700
providerType 00
operatingCostToChargeRatio 0.15
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 41700
providerType 00
operatingCostToChargeRatio 0.154
specialPaymentIndicator 1
carrierCode 04412
localityCode 99

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