CCN: 050350 NPI: 1184628919 Organization

ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO

309 W BEVERLY BLVD
MONTEBELLO, CA 906404308

Contact Information

Phone 3237261222
Fax 3238373473
Enumeration Date 2005-06-09
Last Updated 2023-09-18

Taxonomies

Code: 282N00000X (Primary) License State: CA License: 93 0000 389

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.342

medicaidRatio 0.4167

uncompensatedCareAmount 671.38

hhrAdjustment 0.9987

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.342

medicaidRatio 0.4167

uncompensatedCareAmount 671.38

hhrAdjustment 0.9987

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.342

medicaidRatio 0.4167

uncompensatedCareAmount 671.38

hhrAdjustment 0.9987

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.342

medicaidRatio 0.4167

uncompensatedCareAmount 662.72

vbpAdjustment 0.9949476054

hhrAdjustment 0.9965

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.342

medicaidRatio 0.4167

uncompensatedCareAmount 662.72

vbpAdjustment 0.9949476054

hhrAdjustment 0.9965

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.274

medicaidRatio 0.4129

uncompensatedCareAmount 662.72

vbpAdjustment 0.9949476054

hhrAdjustment 0.9965

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.274

medicaidRatio 0.4129

uncompensatedCareAmount 503.47

hhrAdjustment 0.998

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.274

medicaidRatio 0.4129

uncompensatedCareAmount 503.47

hhrAdjustment 0.998

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.221

medicaidRatio 0.4435

uncompensatedCareAmount 503.47

hhrAdjustment 0.998

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.221

medicaidRatio 0.4435

uncompensatedCareAmount 503.47

hhrAdjustment 0.998

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.221

medicaidRatio 0.4435

uncompensatedCareAmount 428.31

hhrAdjustment 0.9922

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.221

medicaidRatio 0.4435

uncompensatedCareAmount 428.31

hhrAdjustment 0.9922

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.221

medicaidRatio 0.4435

uncompensatedCareAmount 428.31

hhrAdjustment 0.9922

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.289

medicaidRatio 0.4738

uncompensatedCareAmount 428.31

hhrAdjustment 0.9922

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.289

medicaidRatio 0.4738

uncompensatedCareAmount 793.14

vbpAdjustment 1.010473074

hhrAdjustment 0.9934

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.355

medicaidRatio 0.5027

uncompensatedCareAmount 793.14

vbpAdjustment 1.010473074

hhrAdjustment 0.9934

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.355

medicaidRatio 0.5027

uncompensatedCareAmount 1003.54

vbpAdjustment 1.002327894

hhrAdjustment 0.9952

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.355

medicaidRatio 0.5077

uncompensatedCareAmount 1003.54

vbpAdjustment 1.002327894

hhrAdjustment 0.9952

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.355

medicaidRatio 0.5077

uncompensatedCareAmount 1003.54

vbpAdjustment 1.002327894

hhrAdjustment 0.9952

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.355

medicaidRatio 0.5077

uncompensatedCareAmount 1390.32

vbpAdjustment 0.9963546365

hhrAdjustment 0.9968

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.355

medicaidRatio 0.5077

uncompensatedCareAmount 1390.32

vbpAdjustment 0.9963546365

hhrAdjustment 0.9968

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.342

medicaidRatio 0.4562

uncompensatedCareAmount 1390.32

vbpAdjustment 0.9963546365

hhrAdjustment 0.9968

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.342

medicaidRatio 0.4562

uncompensatedCareAmount 1390.32

vbpAdjustment 0.9963546365

hhrAdjustment 0.9968

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.342

medicaidRatio 0.4562

uncompensatedCareAmount 1470.99

vbpAdjustment 1.0032578596

hhrAdjustment 0.9944

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 00

caseMixIndex 1.1807

operatingCostToChargeRatio 0.336

medicaidRatio 0.4589

uncompensatedCareAmount 1470.99

vbpAdjustment 1.0032578596

hhrAdjustment 0.9944

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.542

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.542

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.542

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.172

deviceCostToChargeRatio 0.32

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.172

deviceCostToChargeRatio 0.32

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.177

deviceCostToChargeRatio 0.352

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.177

deviceCostToChargeRatio 0.352

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.196

deviceCostToChargeRatio 0.432

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.386

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.386

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.386

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.237

deviceCostToChargeRatio 0.421

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.237

deviceCostToChargeRatio 0.421

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 00

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.423

specialPaymentIndicator

carrierCode 01182

localityCode 18

ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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