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  • 676449
CCN: 676449 NPI: 1659031268 Organization

IGNITE MEDICAL RESORT FORT WORTH, LLC

6301 OAKMONT BLVD
FORT WORTH, TX 761322814

Contact Information

  • Phone 6823128577
  • Enumeration Date 2021-12-22
  • Last Updated 2021-12-22

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 0.9811601002
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 1.0087576431
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 0.9802538758
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 0.9824904155
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 0.9810159916
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38
vbpAdjustment 1.0
censusDivision 7
cbsaActualGeographicLocation 23104
providerType 38

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 23104
providerType 38
carrierCode 04412
localityCode 28
cbsaActualGeographicLocation 23104
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 28
cbsaActualGeographicLocation 23104
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 28
cbsaActualGeographicLocation 23104
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 28
cbsaActualGeographicLocation 23104
providerType 38
specialPaymentIndicator
carrierCode 04412
localityCode 28

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