CCN: 025031 NPI: 1679566269 Organization

SOUTH PENINSULA HOSPITAL LTC

4300 BARTLETT STREET
HOMER, AK 996037005

Contact Information

Phone 9072358101
Fax 9072350253
Enumeration Date 2005-08-29
Last Updated 2020-02-07

Taxonomies

Code: 207PE0004X
Code: 207X00000X
Code: 208600000X
Code: 261QM1300X
Code: 282NC0060X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 02

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 0.228

vbpAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 02

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 0.228

vbpAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 02

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 0.228

vbpAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 02

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 0.228

vbpAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 02

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 0.228

vbpAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 02

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 0.228

vbpAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 02

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 0.228

vbpAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 02

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 0.228

vbpAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 02

providerType 38

caseMixIndex 0.0001

operatingCostToChargeRatio 0.228

vbpAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 02

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02102

localityCode 01

cbsaActualGeographicLocation 02

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02102

localityCode 01

cbsaActualGeographicLocation 02

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02102

localityCode 01

cbsaActualGeographicLocation 02

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02102

localityCode 01

cbsaActualGeographicLocation 02

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02102

localityCode 01

cbsaActualGeographicLocation 02

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02102

localityCode 01

cbsaActualGeographicLocation 02

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02102

localityCode 01

cbsaActualGeographicLocation 02

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02102

localityCode 01

cbsaActualGeographicLocation 02

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 02102

localityCode 01