CCN: 675936 NPI: 1487992889 Organization

PONDEROSA NURSING AND REHABILITATION CENTER

12520 FM 1840
DE KALB, TX 755591929

Contact Information

Phone 9036672572
Fax 9036675589
Enumeration Date 2013-01-21
Last Updated 2017-11-20

Taxonomies

Code: 314000000X (Primary) License State: TX

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 45500

providerType 38

vbpAdjustment 0.992

censusDivision 7

cbsaActualGeographicLocation 45500

providerType 38

vbpAdjustment 0.992

censusDivision 7

cbsaActualGeographicLocation 45500

providerType 38

vbpAdjustment 0.980278308

censusDivision 7

cbsaActualGeographicLocation 45500

providerType 38

vbpAdjustment 0.9867960648

censusDivision 7

cbsaActualGeographicLocation 45500

providerType 38

vbpAdjustment 1.0041231458

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 45500

providerType 38

specialPaymentIndicator

carrierCode 04412

localityCode 99