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  • 670175
CCN: 670175 NPI: 1063051159 Organization

PRESTIGE EMERGENCY ROOM-POTRANCO LLC

738 W LOOP 1604 N
SAN ANTONIO, TX 782513350

Contact Information

  • Phone 2105044837
  • Enumeration Date 2020-01-06
  • 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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