CCN: 030062 NPI: 1144209271 Organization

SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER

2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 859017881

Contact Information

Phone 9285374375
Fax 9285378839
Enumeration Date 2006-01-17
Last Updated 2025-06-11

Taxonomies

Code: 282NR1301X (Primary) License State: AZ License: H0132

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.225

medicaidRatio 0.3421

uncompensatedCareAmount 279.13

vbpAdjustment 1.0086184398

hhrAdjustment 0.9995

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.24

medicaidRatio 0.3416

uncompensatedCareAmount 146.62

vbpAdjustment 1.0156870136

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.24

medicaidRatio 0.3416

uncompensatedCareAmount 146.62

vbpAdjustment 1.0156870136

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.224

medicaidRatio 0.2536

uncompensatedCareAmount 146.62

vbpAdjustment 1.0156870136

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.224

medicaidRatio 0.2536

uncompensatedCareAmount 142.7

vbpAdjustment 1.0151150095

hhrAdjustment 0.9996

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.224

medicaidRatio 0.2536

uncompensatedCareAmount 142.7

vbpAdjustment 1.0151150095

hhrAdjustment 0.9996

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.226

medicaidRatio 0.2878

uncompensatedCareAmount 142.7

vbpAdjustment 1.0151150095

hhrAdjustment 0.9996

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.226

medicaidRatio 0.2878

uncompensatedCareAmount 239.82

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.226

medicaidRatio 0.2878

uncompensatedCareAmount 239.82

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.226

medicaidRatio 0.2878

uncompensatedCareAmount 239.82

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.243

medicaidRatio 0.338

uncompensatedCareAmount 239.82

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.243

medicaidRatio 0.338

uncompensatedCareAmount 327.5

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.243

medicaidRatio 0.338

uncompensatedCareAmount 327.5

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.243

medicaidRatio 0.338

uncompensatedCareAmount 327.5

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.295

medicaidRatio 0.4253

uncompensatedCareAmount 327.5

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.295

medicaidRatio 0.4253

uncompensatedCareAmount 516.26

vbpAdjustment 1.0151242274

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.273

medicaidRatio 0.3154

uncompensatedCareAmount 516.26

vbpAdjustment 1.0151242274

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.273

medicaidRatio 0.3154

uncompensatedCareAmount 663.06

vbpAdjustment 1.0031002426

hhrAdjustment 0.9958

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.273

medicaidRatio 0.3154

uncompensatedCareAmount 663.06

vbpAdjustment 1.0031002426

hhrAdjustment 0.9958

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.273

medicaidRatio 0.3154

uncompensatedCareAmount 803.47

vbpAdjustment 1.0027542768

hhrAdjustment 0.9981

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.271

medicaidRatio 0.3173

uncompensatedCareAmount 803.47

vbpAdjustment 1.0027542768

hhrAdjustment 0.9981

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.271

medicaidRatio 0.3173

uncompensatedCareAmount 803.47

vbpAdjustment 1.0027542768

hhrAdjustment 0.9981

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.271

medicaidRatio 0.3173

uncompensatedCareAmount 789.89

vbpAdjustment 1.008234312

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 16

caseMixIndex 1.1898

operatingCostToChargeRatio 0.279

medicaidRatio 0.3377

uncompensatedCareAmount 789.89

vbpAdjustment 1.008234312

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.274

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.274

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.236

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.236

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.146

deviceCostToChargeRatio 0.317

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.146

deviceCostToChargeRatio 0.317

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.144

deviceCostToChargeRatio 0.289

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.144

deviceCostToChargeRatio 0.289

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.152

deviceCostToChargeRatio 0.221

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.152

deviceCostToChargeRatio 0.221

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.389

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.145

deviceCostToChargeRatio 0.316

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.145

deviceCostToChargeRatio 0.316

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.145

deviceCostToChargeRatio 0.316

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.165

deviceCostToChargeRatio 0.281

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.165

deviceCostToChargeRatio 0.281

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 03

providerType 16

operatingCostToChargeRatio 0.17

deviceCostToChargeRatio 0.259

specialPaymentIndicator

costOfLivingAdjustment 0.873

carrierCode 03102

localityCode 00

SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

Supercharge Your Revenue Cycle Analytics