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  • 676092
CCN: 676092 NPI: 1093131476 Organization

LEGACY AT JACKSONVILLE

810 BELLAIRE ST
JACKSONVILLE, TX 757669045

Contact Information

  • Phone 9035895300
  • Fax 9035895335
  • Enumeration Date 2014-03-10
  • Last Updated 2024-01-02

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 45
providerType 38
vbpAdjustment 0.9844395018
censusDivision 7
cbsaActualGeographicLocation 45
providerType 38
vbpAdjustment 0.9860662897
censusDivision 7
cbsaActualGeographicLocation 45
providerType 38
vbpAdjustment 1.0019140815
censusDivision 7
cbsaActualGeographicLocation 45
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 45
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 45
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 45
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 45
providerType 38
vbpAdjustment 0.9830794115

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 45
providerType 38
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 45
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 45
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99

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