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  • 675891
CCN: 675891 NPI: 1952853194 Organization

BRIDGEPORT MEDICAL LODGE

2108 15TH ST
BRIDGEPORT, TX 764262055

Contact Information

  • Phone 9406838500
  • Fax 9406835023
  • Enumeration Date 2016-11-03
  • Last Updated 2025-05-21

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9821314241
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9933200546
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9933200546
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9802538758
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.980278308
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9803449243
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 23104
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 23104
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 23104
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 23104
providerType 38
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 23104
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99

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