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  • 676304
CCN: 676304 NPI: 1093232084 Organization

CREEKSIDE VILLAGE

914 BRAZOSPORT BLVD N
RICHWOOD, TX 775313720

Contact Information

  • Phone 9792654794
  • Fax 9792654898
  • Enumeration Date 2017-08-29
  • Last Updated 2024-01-23

Taxonomies

  • Code: 251J00000X License State: TX License: 676304
  • Code: 314000000X (Primary) License State: TX License: 676304

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 26420
providerType 38
vbpAdjustment 0.9826963612
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 38
vbpAdjustment 1.0074428122
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 38
vbpAdjustment 0.980278308
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 38
vbpAdjustment 0.980592718
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 38
vbpAdjustment 0.9813790594

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 26420
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 26420
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 26420
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 26420
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99

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