CCN: 679688 NPI: 1568476836 Organization

IMMACULATE HEALTHCARE SERVICES INC

4923 STEEPLE CHASE COURT
GRAND PRAIRIE, TX 75052

Contact Information

Phone 9726022008
Fax 9726023509
Enumeration Date 2006-07-29
Last Updated 2012-01-06

Taxonomies

Code: 251E00000X (Primary) License State: TX License: 010573

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 19124

providerType 36

censusDivision 7

cbsaActualGeographicLocation 19124

providerType 36

censusDivision 7

cbsaActualGeographicLocation 19124

providerType 36

censusDivision 7

cbsaActualGeographicLocation 19124

providerType 36

censusDivision 7

cbsaActualGeographicLocation 19124

providerType 36

censusDivision 7

cbsaActualGeographicLocation 19124

providerType 36

censusDivision 7

cbsaActualGeographicLocation 19124

providerType 36

censusDivision 7

cbsaActualGeographicLocation 19124

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 19124

providerType 36

specialPaymentIndicator

carrierCode 04412

localityCode 11