CCN: 050748 NPI: 1740354851 Organization

KAISER FOUNDATION HOSPITAL MANTECA

1777 W YOSEMITE AVE
MANTECA, CA 953375130

Contact Information

Phone 2098253700
Enumeration Date 2006-11-20
Last Updated 2021-04-14

Taxonomies

Code: 282N00000X (Primary) License State: CA License: 030000393

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 07

operatingCostToChargeRatio 0.261

medicaidRatio 0.0334

internsToBedsRatio 0.0754

vbpAdjustment 1.0040594113

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 07

operatingCostToChargeRatio 0.261

medicaidRatio 0.0334

internsToBedsRatio 0.0754

vbpAdjustment 1.0086391081

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 07

operatingCostToChargeRatio 0.259

medicaidRatio 0.0245

internsToBedsRatio 0.0604

vbpAdjustment 1.0086391081

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 07

operatingCostToChargeRatio 0.259

medicaidRatio 0.0245

internsToBedsRatio 0.0604

vbpAdjustment 1.0086391081

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 07

operatingCostToChargeRatio 0.259

medicaidRatio 0.0245

internsToBedsRatio 0.0604

vbpAdjustment 1.0086391081

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 07

operatingCostToChargeRatio 0.259

medicaidRatio 0.0245

internsToBedsRatio 0.0604

vbpAdjustment 0.9989810862

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 07

operatingCostToChargeRatio 0.277

medicaidRatio 0.0241

internsToBedsRatio 0.0254

vbpAdjustment 0.9989810862

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 07

operatingCostToChargeRatio 0.277

medicaidRatio 0.0241

internsToBedsRatio 0.0254

vbpAdjustment 0.9989810862

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.277

medicaidRatio 0.0241

internsToBedsRatio 0.0254

vbpAdjustment 0.9989810862

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.277

medicaidRatio 0.0241

internsToBedsRatio 0.0254

vbpAdjustment 0.9989810862

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.277

medicaidRatio 0.0241

internsToBedsRatio 0.0254

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.296

medicaidRatio 0.0235

internsToBedsRatio 0.0087

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.296

medicaidRatio 0.0235

internsToBedsRatio 0.0087

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.296

medicaidRatio 0.0235

internsToBedsRatio 0.0087

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.448

medicaidRatio 0.0222

internsToBedsRatio 0.0035

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.448

medicaidRatio 0.0222

internsToBedsRatio 0.0035

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.448

medicaidRatio 0.0222

internsToBedsRatio 0.0035

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.448

medicaidRatio 0.0222

internsToBedsRatio 0.0035

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.365

medicaidRatio 0.0225

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.365

medicaidRatio 0.0225

vbpAdjustment 1.0043784592

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.364

medicaidRatio 0.0183

vbpAdjustment 1.0043784592

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.364

medicaidRatio 0.0183

vbpAdjustment 0.9990356609

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.364

medicaidRatio 0.0183

vbpAdjustment 0.9990356609

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.364

medicaidRatio 0.0183

vbpAdjustment 1.0019958009

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.364

medicaidRatio 0.0183

vbpAdjustment 1.0019958009

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.392

medicaidRatio 0.0104

vbpAdjustment 1.0019958009

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.392

medicaidRatio 0.0104

vbpAdjustment 1.0019958009

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.392

medicaidRatio 0.0104

vbpAdjustment 1.0136994616

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.366

medicaidRatio 0.011

vbpAdjustment 1.0136994616

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.366

medicaidRatio 0.011

vbpAdjustment 1.0136994616

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 44700

providerType 07

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.402

specialPaymentIndicator Y

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 07

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.402

specialPaymentIndicator Y

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 07

operatingCostToChargeRatio 0.144

deviceCostToChargeRatio 0.484

specialPaymentIndicator Y

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 07

operatingCostToChargeRatio 0.144

deviceCostToChargeRatio 0.484

specialPaymentIndicator Y

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 07

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.59

specialPaymentIndicator Y

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.59

specialPaymentIndicator Y

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.59

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.164

deviceCostToChargeRatio 0.666

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.164

deviceCostToChargeRatio 0.666

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.225

deviceCostToChargeRatio 0.789

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.225

deviceCostToChargeRatio 0.789

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.183

deviceCostToChargeRatio 0.586

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.198

deviceCostToChargeRatio 0.496

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.198

deviceCostToChargeRatio 0.496

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.198

deviceCostToChargeRatio 0.496

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.235

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.235

specialPaymentIndicator

carrierCode 01112

localityCode 68

cbsaActualGeographicLocation 44700

providerType 00

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.244

specialPaymentIndicator

carrierCode 01112

localityCode 68

KAISER FOUNDATION HOSPITAL MANTECA

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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