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  • 676052
CCN: 676052 NPI: 1306239587 Organization

IMMANUEL'S HEALTHCARE

4515 VILLAGE CREEK RD
FORT WORTH, TX 761194158

Contact Information

  • Phone 8174518704
  • Fax 8174510048
  • Enumeration Date 2015-03-11
  • Last Updated 2026-02-18

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 0.9877145619
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 0.9829482475
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 1.0037717633
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 0.9803449243
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 23104
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 28
cbsaActualGeographicLocation 23104
providerType 38
carrierCode 04412
localityCode 28
cbsaActualGeographicLocation 23104
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 28

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