CCN: 030077 NPI: 1265813075 Organization

SAN CARLOS APACHE HEALTHCARE

103 MEDICINE WAY ROAD
PERIDOT, AZ 85542

Contact Information

Phone 9284751200
Enumeration Date 2015-06-17
Last Updated 2024-12-18

Taxonomies

Code: 282NR1301X
Code: 261QC0050X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.243

medicaidRatio 0.5451

uncompensatedCareAmount 244.89

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.243

medicaidRatio 0.5451

uncompensatedCareAmount 244.89

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.243

medicaidRatio 0.5451

uncompensatedCareAmount 244.89

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.243

medicaidRatio 0.5451

uncompensatedCareAmount 244.89

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.243

medicaidRatio 0.5451

uncompensatedCareAmount 244.89

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.289

medicaidRatio 0.5451

uncompensatedCareAmount 448.28

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.289

medicaidRatio 0.526

uncompensatedCareAmount 448.28

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.289

medicaidRatio 0.526

uncompensatedCareAmount 448.28

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.289

medicaidRatio 0.526

uncompensatedCareAmount 448.28

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.289

medicaidRatio 0.526

uncompensatedCareAmount 448.28

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.289

medicaidRatio 0.526

uncompensatedCareAmount 338.86

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.289

medicaidRatio 0.5648

uncompensatedCareAmount 338.86

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.289

medicaidRatio 0.5648

uncompensatedCareAmount 348.69

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.289

medicaidRatio 0.5717

uncompensatedCareAmount 348.69

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.289

medicaidRatio 0.5717

uncompensatedCareAmount 348.69

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.289

medicaidRatio 0.5717

uncompensatedCareAmount 348.69

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.268

medicaidRatio 0.5717

uncompensatedCareAmount 270.16

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.268

medicaidRatio 0.5717

uncompensatedCareAmount 270.16

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.268

medicaidRatio 0.5487

uncompensatedCareAmount 270.16

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.268

medicaidRatio 0.5487

uncompensatedCareAmount 270.16

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.27

medicaidRatio 0.5487

uncompensatedCareAmount 444.31

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.27

medicaidRatio 0.4335

uncompensatedCareAmount 444.31

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.27

medicaidRatio 0.4335

uncompensatedCareAmount 444.31

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 03

providerType 08

caseMixIndex 0.9068

operatingCostToChargeRatio 0.27

medicaidRatio 0.4335

uncompensatedCareAmount 444.31

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

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

SAN CARLOS APACHE HEALTHCARE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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