PROVIDER
NAME
010201
DUBOIS REGIONAL MED. CNTR
Unit
S/A
Srvc Cat
Service Desc
RU
FS
PA
Eff Date
Lap Date
Rate
Descr
Code
12500000
INPATIENT SERVICES
5031
31
Y
7/1/2001
06/30/10
532.44
Day
1250