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  • 676148
CCN: 676148 NPI: 1760503106 Organization

PEACH TREE PLACE

315 W ANDERSON ST
WEATHERFORD, TX 760865349

Contact Information

  • Phone 8175994181
  • Enumeration Date 2007-04-03
  • Last Updated 2022-03-07

Taxonomies

  • Code: 311500000X License State: TX License: 117601
  • Code: 313M00000X License State: TX License: 117601
  • Code: 314000000X (Primary) License State: TX License: 676148

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 0.9815912002
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 1.0
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 1.0
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 0.9851848191

Outpatient Payment Attributes (OPSF) View Dictionary →

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
cbsaActualGeographicLocation 23104
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99

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