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  • 676184
CCN: 676184 NPI: 1770752172 Organization

PROVIDENCE PARK REHABILITATION AND SKILLED NURSING

5505 NEW COPELAND RD
TYLER, TX 757033955

Contact Information

  • Phone 9039392443
  • Fax 9039392479
  • Enumeration Date 2008-02-29
  • Last Updated 2020-04-06

Taxonomies

  • Code: 314000000X (Primary) License State: TX License: 124617

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 46340
providerType 38
vbpAdjustment 0.9864987864
censusDivision 7
cbsaActualGeographicLocation 46340
providerType 38
vbpAdjustment 0.9996230135
censusDivision 7
cbsaActualGeographicLocation 46340
providerType 38
vbpAdjustment 0.9802538758
censusDivision 7
cbsaActualGeographicLocation 46340
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 46340
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 46340
providerType 38
vbpAdjustment 0.980278308
censusDivision 7
cbsaActualGeographicLocation 46340
providerType 38
vbpAdjustment 1.0270578974
censusDivision 7
cbsaActualGeographicLocation 46340
providerType 38
vbpAdjustment 0.9821675037

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 46340
providerType 38
operatingCostToChargeRatio 6.34
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 46340
providerType 38
operatingCostToChargeRatio 6.34
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 46340
providerType 38
operatingCostToChargeRatio 6.34
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 46340
providerType 38
operatingCostToChargeRatio 6.34
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 46340
providerType 38
operatingCostToChargeRatio 6.34
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 46340
providerType 38
operatingCostToChargeRatio 6.34
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 46340
providerType 38
operatingCostToChargeRatio 6.34
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 46340
providerType 38
operatingCostToChargeRatio 6.34
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 46340
providerType 38
operatingCostToChargeRatio 6.34
specialPaymentIndicator
carrierCode 04412
localityCode 99

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