CCN: 030078 NPI: 1083643738 Organization

PHOENIX INDIAN MEDICAL CENTER

4212 N 16TH ST
PHOENIX, AZ 850165319

Contact Information

Phone 6022631200
Fax 6022005383
Enumeration Date 2006-07-02
Last Updated 2024-03-19

Taxonomies

Code: 251K00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.191

medicaidRatio 0.4548

uncompensatedCareAmount 5214.15

vbpAdjustment 1.0390758156

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.191

medicaidRatio 0.4548

uncompensatedCareAmount 5214.15

vbpAdjustment 1.0390758156

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.191

medicaidRatio 0.4548

uncompensatedCareAmount 5214.15

vbpAdjustment 1.0390758156

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.195

medicaidRatio 0.4548

uncompensatedCareAmount 3581.6

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.195

medicaidRatio 0.5859

uncompensatedCareAmount 3581.6

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.195

medicaidRatio 0.5859

uncompensatedCareAmount 3581.6

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.192

medicaidRatio 0.5859

uncompensatedCareAmount 4287.46

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.192

medicaidRatio 0.5859

uncompensatedCareAmount 4287.46

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.192

medicaidRatio 0.5458

uncompensatedCareAmount 4287.46

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.192

medicaidRatio 0.5458

uncompensatedCareAmount 4287.46

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.192

medicaidRatio 0.5458

uncompensatedCareAmount 4287.46

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.187

medicaidRatio 0.5458

uncompensatedCareAmount 3694.11

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.187

medicaidRatio 0.4379

uncompensatedCareAmount 3694.11

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.187

medicaidRatio 0.4379

uncompensatedCareAmount 3694.11

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.187

medicaidRatio 0.4379

uncompensatedCareAmount 3694.11

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.187

medicaidRatio 0.4379

uncompensatedCareAmount 3694.11

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.187

medicaidRatio 0.4379

uncompensatedCareAmount 3694.11

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.177

medicaidRatio 0.4379

uncompensatedCareAmount 3343.96

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.177

medicaidRatio 0.5569

uncompensatedCareAmount 3343.96

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.177

medicaidRatio 0.5569

uncompensatedCareAmount 3343.96

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.177

medicaidRatio 0.5569

uncompensatedCareAmount 3343.96

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.177

medicaidRatio 0.5569

uncompensatedCareAmount 3958.4

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.177

medicaidRatio 0.5569

uncompensatedCareAmount 3958.4

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.177

medicaidRatio 0.6783

uncompensatedCareAmount 3958.4

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.186

medicaidRatio 0.6783

uncompensatedCareAmount 4091.05

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.186

medicaidRatio 0.6675

uncompensatedCareAmount 4091.05

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.186

medicaidRatio 0.6675

uncompensatedCareAmount 4091.05

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.186

medicaidRatio 0.6675

uncompensatedCareAmount 4091.05

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.196

medicaidRatio 0.6675

uncompensatedCareAmount 4615.17

vbpAdjustment 1.0220954121

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.196

medicaidRatio 0.6675

uncompensatedCareAmount 4615.17

vbpAdjustment 1.0220954121

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.196

medicaidRatio 0.6234

uncompensatedCareAmount 4615.17

vbpAdjustment 1.0220954121

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.196

medicaidRatio 0.6234

uncompensatedCareAmount 4615.17

vbpAdjustment 1.0220954121

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.208

medicaidRatio 0.6234

uncompensatedCareAmount 4185.84

vbpAdjustment 1.0216929886

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.208

medicaidRatio 0.6234

uncompensatedCareAmount 4185.84

vbpAdjustment 1.0216929886

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.208

medicaidRatio 0.5513

uncompensatedCareAmount 4185.84

vbpAdjustment 1.0216929886

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 08

caseMixIndex 1.0305

operatingCostToChargeRatio 0.208

medicaidRatio 0.5513

uncompensatedCareAmount 4185.84

vbpAdjustment 1.0216929886

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 99

providerType 08

operatingCostToChargeRatio 0.154

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType 08

operatingCostToChargeRatio 0.152

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType 00

operatingCostToChargeRatio 0.15

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.15

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.145

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.145

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.141

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.141

specialPaymentIndicator

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.141

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

PHOENIX INDIAN MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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