CCN: 030071 NPI: 1477876639 Organization

FORT DEFIANCE INDIAN HOSPITAL

CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504

Contact Information

Phone 9287298000
Fax 9287298169
Enumeration Date 2010-03-02
Last Updated 2025-11-13

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.24

medicaidRatio 0.4859

uncompensatedCareAmount 2966.59

vbpAdjustment 1.014709915

hhrAdjustment 0.9987

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.24

medicaidRatio 0.4859

uncompensatedCareAmount 2966.59

vbpAdjustment 1.014709915

hhrAdjustment 0.9987

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.24

medicaidRatio 0.4859

uncompensatedCareAmount 2966.59

vbpAdjustment 1.014709915

hhrAdjustment 0.9987

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.224

medicaidRatio 0.4859

uncompensatedCareAmount 2157.86

vbpAdjustment 1.014605589

hhrAdjustment 0.9977

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.224

medicaidRatio 0.4859

uncompensatedCareAmount 2157.86

vbpAdjustment 1.014605589

hhrAdjustment 0.9977

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.224

medicaidRatio 0.4452

uncompensatedCareAmount 2157.86

vbpAdjustment 1.014605589

hhrAdjustment 0.9977

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.224

medicaidRatio 0.4452

uncompensatedCareAmount 2157.86

vbpAdjustment 1.014605589

hhrAdjustment 0.9977

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.226

medicaidRatio 0.4452

uncompensatedCareAmount 2157.86

vbpAdjustment 1.014605589

hhrAdjustment 0.9977

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.226

medicaidRatio 0.4452

uncompensatedCareAmount 2019.14

hhrAdjustment 0.9995

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.226

medicaidRatio 0.5041

uncompensatedCareAmount 2019.14

hhrAdjustment 0.9995

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.226

medicaidRatio 0.5041

uncompensatedCareAmount 2019.14

hhrAdjustment 0.9995

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.226

medicaidRatio 0.5041

uncompensatedCareAmount 2019.14

hhrAdjustment 0.9995

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.243

medicaidRatio 0.5041

uncompensatedCareAmount 2095.9

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.243

medicaidRatio 0.4976

uncompensatedCareAmount 2095.9

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.243

medicaidRatio 0.4976

uncompensatedCareAmount 2095.9

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.243

medicaidRatio 0.4976

uncompensatedCareAmount 2095.9

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.243

medicaidRatio 0.4976

uncompensatedCareAmount 2095.9

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.243

medicaidRatio 0.4976

uncompensatedCareAmount 2095.9

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.289

medicaidRatio 0.4976

uncompensatedCareAmount 2134.92

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.289

medicaidRatio 0.5512

uncompensatedCareAmount 2134.92

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.289

medicaidRatio 0.5512

uncompensatedCareAmount 2134.92

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.289

medicaidRatio 0.5512

uncompensatedCareAmount 2134.92

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.289

medicaidRatio 0.5512

uncompensatedCareAmount 2490.56

vbpAdjustment 1.015355894

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.289

medicaidRatio 0.5512

uncompensatedCareAmount 2490.56

vbpAdjustment 1.015355894

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.289

medicaidRatio 0.5793

uncompensatedCareAmount 2490.56

vbpAdjustment 1.015355894

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.289

medicaidRatio 0.5793

uncompensatedCareAmount 2578.83

vbpAdjustment 1.0127194925

hhrAdjustment 0.9996

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.289

medicaidRatio 0.5793

uncompensatedCareAmount 2578.83

vbpAdjustment 1.0127194925

hhrAdjustment 0.9996

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.289

medicaidRatio 0.5356

uncompensatedCareAmount 2578.83

vbpAdjustment 1.0127194925

hhrAdjustment 0.9996

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.289

medicaidRatio 0.5356

uncompensatedCareAmount 2578.83

vbpAdjustment 1.0127194925

hhrAdjustment 0.9996

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.268

medicaidRatio 0.5356

uncompensatedCareAmount 2848.6

vbpAdjustment 1.012140416

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.268

medicaidRatio 0.5954

uncompensatedCareAmount 2848.6

vbpAdjustment 1.012140416

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.268

medicaidRatio 0.5954

uncompensatedCareAmount 2848.6

vbpAdjustment 1.012140416

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.268

medicaidRatio 0.5954

uncompensatedCareAmount 2848.6

vbpAdjustment 1.012140416

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.268

medicaidRatio 0.5954

uncompensatedCareAmount 2848.6

vbpAdjustment 1.012140416

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.27

medicaidRatio 0.5954

uncompensatedCareAmount 2343.72

vbpAdjustment 1.016039702

hhrAdjustment 0.9905

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.27

medicaidRatio 0.4995

uncompensatedCareAmount 2343.72

vbpAdjustment 1.016039702

hhrAdjustment 0.9905

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9573

operatingCostToChargeRatio 0.27

medicaidRatio 0.4995

uncompensatedCareAmount 2343.72

vbpAdjustment 1.016039702

hhrAdjustment 0.9905

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 03

providerType 08

operatingCostToChargeRatio 0.124

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType 08

operatingCostToChargeRatio 0.147

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType 08

operatingCostToChargeRatio 0.137

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType 00

operatingCostToChargeRatio 0.137

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.137

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.138

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.138

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.17

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.17

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.173

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.173

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.189

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.189

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.245

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.245

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.232

specialPaymentIndicator

carrierCode 03102

localityCode 00

FORT DEFIANCE INDIAN HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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