PROVIDER	NAME
075201	CLEARFIELD HOSPITAL
								Unit	S/A
Srvc Cat	Service Desc	RU	FS	PA	Eff Date	Lap Date	Rate	Descr	Code
11940000	CLEARFIELD OP-INTAKE	5031	31	N	7/1/2001	06/30/10	75.00	EVENT	1194
11940000	CLEARFIELD OP-INTAKE	5035	35	N	7/1/2001	06/30/10	75.00	EVENT	1194
11950000	CLEARFIELD STRUCTURED OP	5031	31	N	7/1/2001	06/30/10	60.00	HOUR	1195
11950000	CLEARFIELD STRUCTURED OP	5035	35	N	7/1/2001	06/30/10	60.00	HOUR	1195
11960000	CLEARFIELD OP-LIAB	5038	38	N	7/1/2002	06/30/10	13.50	EVENT	1196
11960000	CLEARFIELD OP-LIAB	5031	31	N	7/1/2002	06/30/10	13.50	EVENT	1196