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  • 676335
CCN: 676335 NPI: 1396287504 Organization

BROADMOOR MEDICAL LODGE

5242 MEDICAL DR
ROCKWALL, TX 750325001

Contact Information

  • Phone 9727728700
  • Fax 9727728701
  • Enumeration Date 2016-11-07
  • Last Updated 2025-07-02

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.9886264865
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.9802564842
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.9802564842
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.980515526
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.9979789024
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.9803449243
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 38
vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 19124
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 19124
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 19124
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 19124
providerType 38
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 19124
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 99

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