CCN: 050336 NPI: 1316938301 Organization

ADVENTIST HEALTH LODI MEMORIAL

975 S FAIRMONT AVE
LODI, CA 952405118

Contact Information

Phone 2093343411
Fax 2093397659
Enumeration Date 2005-10-31
Last Updated 2025-07-23

Taxonomies

Code: 282N00000X (Primary) License State: CA License: 030000056

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.094

medicaidRatio 0.2712

uncompensatedCareAmount 721.34

vbpAdjustment 0.995314888

hhrAdjustment 0.9913

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.094

medicaidRatio 0.2712

uncompensatedCareAmount 550.46

vbpAdjustment 0.9985706717

hhrAdjustment 0.9966

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.097

medicaidRatio 0.299

uncompensatedCareAmount 550.46

vbpAdjustment 0.9985706717

hhrAdjustment 0.9966

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.097

medicaidRatio 0.299

uncompensatedCareAmount 550.46

vbpAdjustment 0.9985706717

hhrAdjustment 0.9966

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.108

medicaidRatio 0.2711

uncompensatedCareAmount 550.46

vbpAdjustment 0.9985706717

hhrAdjustment 0.9966

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.108

medicaidRatio 0.2711

uncompensatedCareAmount 359.27

vbpAdjustment 1.0122678465

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.108

medicaidRatio 0.2711

uncompensatedCareAmount 359.27

vbpAdjustment 1.0122678465

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.108

medicaidRatio 0.2711

uncompensatedCareAmount 183.35

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.114

medicaidRatio 0.3031

uncompensatedCareAmount 183.35

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.114

medicaidRatio 0.3031

uncompensatedCareAmount 183.35

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.114

medicaidRatio 0.3031

uncompensatedCareAmount 183.35

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.114

medicaidRatio 0.3031

uncompensatedCareAmount 112.84

hhrAdjustment 0.9978

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.121

medicaidRatio 0.2723

uncompensatedCareAmount 112.84

hhrAdjustment 0.9978

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.121

medicaidRatio 0.2723

uncompensatedCareAmount 112.84

hhrAdjustment 0.9978

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.121

medicaidRatio 0.2723

uncompensatedCareAmount 112.84

hhrAdjustment 0.9978

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.121

medicaidRatio 0.2723

uncompensatedCareAmount 415.4

vbpAdjustment 1.003255767

hhrAdjustment 0.9931

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.129

medicaidRatio 0.2962

uncompensatedCareAmount 415.4

vbpAdjustment 1.003255767

hhrAdjustment 0.9931

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.129

medicaidRatio 0.2962

uncompensatedCareAmount 246.37

vbpAdjustment 1.0033342876

hhrAdjustment 0.991

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.129

medicaidRatio 0.2962

uncompensatedCareAmount 246.37

vbpAdjustment 1.0033342876

hhrAdjustment 0.991

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.129

medicaidRatio 0.2962

uncompensatedCareAmount 440.75

vbpAdjustment 0.9957620772

hhrAdjustment 0.9888

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.129

medicaidRatio 0.2962

uncompensatedCareAmount 440.75

vbpAdjustment 0.9957620772

hhrAdjustment 0.9888

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.12

medicaidRatio 0.2835

uncompensatedCareAmount 440.75

vbpAdjustment 0.9957620772

hhrAdjustment 0.9888

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.12

medicaidRatio 0.2835

uncompensatedCareAmount 440.75

vbpAdjustment 0.9957620772

hhrAdjustment 0.9888

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.12

medicaidRatio 0.2835

uncompensatedCareAmount 373.09

vbpAdjustment 1.0004839865

hhrAdjustment 0.9891

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

caseMixIndex 1.2953

operatingCostToChargeRatio 0.128

medicaidRatio 0.3184

uncompensatedCareAmount 373.09

vbpAdjustment 1.0004839865

hhrAdjustment 0.9891

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.079

deviceCostToChargeRatio 0.129

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.079

deviceCostToChargeRatio 0.129

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.082

deviceCostToChargeRatio 0.124

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.082

deviceCostToChargeRatio 0.124

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.098

deviceCostToChargeRatio 0.155

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.098

deviceCostToChargeRatio 0.155

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.1

deviceCostToChargeRatio 0.154

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.1

deviceCostToChargeRatio 0.154

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.207

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.207

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.118

deviceCostToChargeRatio 0.139

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.118

deviceCostToChargeRatio 0.139

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.118

deviceCostToChargeRatio 0.139

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.11

deviceCostToChargeRatio 0.109

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.11

deviceCostToChargeRatio 0.109

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.108

deviceCostToChargeRatio 0.149

specialPaymentIndicator

carrierCode 01112

localityCode 68

ADVENTIST HEALTH LODI MEMORIAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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