CCN: 060116 NPI: 1407845035 Organization

INTERMOUNTAIN HEALTH GOOD SAMARITAN HOSPITAL

200 EXEMPLA CIR
LAFAYETTE, CO 800263370

Contact Information

Phone 3036894000
Enumeration Date 2005-10-17
Last Updated 2022-04-28

Taxonomies

Code: 282N00000X (Primary) License State: CO License: 0570

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.156

medicaidRatio 0.1723

uncompensatedCareAmount 823.95

vbpAdjustment 1.0018373637

hhrAdjustment 0.9992

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.156

medicaidRatio 0.1723

uncompensatedCareAmount 823.95

vbpAdjustment 1.0018373637

hhrAdjustment 0.9992

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.157

medicaidRatio 0.1723

uncompensatedCareAmount 823.95

vbpAdjustment 1.0018373637

hhrAdjustment 0.9992

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.157

medicaidRatio 0.147

uncompensatedCareAmount 823.95

vbpAdjustment 1.0018373637

hhrAdjustment 0.9992

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.157

medicaidRatio 0.147

uncompensatedCareAmount 535.86

vbpAdjustment 0.9947670401

hhrAdjustment 0.9992

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.165

medicaidRatio 0.147

uncompensatedCareAmount 535.86

vbpAdjustment 0.9947670401

hhrAdjustment 0.9992

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.165

medicaidRatio 0.147

uncompensatedCareAmount 535.86

vbpAdjustment 0.9947670401

hhrAdjustment 0.9992

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.165

medicaidRatio 0.147

uncompensatedCareAmount 535.86

vbpAdjustment 0.9947670401

hhrAdjustment 0.9992

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.165

medicaidRatio 0.147

uncompensatedCareAmount 517.43

vbpAdjustment 0.9972016094

hhrAdjustment 0.9998

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.165

medicaidRatio 0.1562

uncompensatedCareAmount 517.43

vbpAdjustment 0.9972016094

hhrAdjustment 0.9998

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.181

medicaidRatio 0.1562

uncompensatedCareAmount 517.43

vbpAdjustment 0.9972016094

hhrAdjustment 0.9998

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.181

medicaidRatio 0.1562

uncompensatedCareAmount 517.43

vbpAdjustment 0.9972016094

hhrAdjustment 0.9998

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.181

medicaidRatio 0.1562

uncompensatedCareAmount 517.43

vbpAdjustment 0.9972016094

hhrAdjustment 0.9998

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.181

medicaidRatio 0.1562

uncompensatedCareAmount 532.3

hhrAdjustment 0.9993

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.181

medicaidRatio 0.1455

uncompensatedCareAmount 532.3

hhrAdjustment 0.9993

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.157

medicaidRatio 0.1455

uncompensatedCareAmount 532.3

hhrAdjustment 0.9993

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.157

medicaidRatio 0.1455

uncompensatedCareAmount 532.3

hhrAdjustment 0.9993

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.157

medicaidRatio 0.1439

uncompensatedCareAmount 532.3

hhrAdjustment 0.9993

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.157

medicaidRatio 0.1439

uncompensatedCareAmount 508.84

hhrAdjustment 0.9991

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.166

medicaidRatio 0.1439

uncompensatedCareAmount 508.84

hhrAdjustment 0.9991

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.166

medicaidRatio 0.1439

uncompensatedCareAmount 508.84

hhrAdjustment 0.9991

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.166

medicaidRatio 0.1439

uncompensatedCareAmount 508.84

hhrAdjustment 0.9991

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.166

medicaidRatio 0.1442

uncompensatedCareAmount 508.84

hhrAdjustment 0.9991

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.166

medicaidRatio 0.1442

uncompensatedCareAmount 593.19

vbpAdjustment 1.0079069204

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.167

medicaidRatio 0.1442

uncompensatedCareAmount 593.19

vbpAdjustment 1.0079069204

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.171

medicaidRatio 0.1442

uncompensatedCareAmount 593.19

vbpAdjustment 1.0079069204

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.171

medicaidRatio 0.1727

uncompensatedCareAmount 593.19

vbpAdjustment 1.0079069204

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.171

medicaidRatio 0.1727

vbpAdjustment 0.9999874439

hhrAdjustment 0.9962

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.169

medicaidRatio 0.1727

vbpAdjustment 0.9999874439

hhrAdjustment 0.9962

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.169

medicaidRatio 0.1727

vbpAdjustment 0.9999874439

hhrAdjustment 0.9962

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.169

medicaidRatio 0.1125

vbpAdjustment 1.0029675982

hhrAdjustment 0.9962

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.169

medicaidRatio 0.1125

vbpAdjustment 1.0029675982

hhrAdjustment 0.997

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.185

medicaidRatio 0.1125

vbpAdjustment 1.0029675982

hhrAdjustment 0.997

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.185

medicaidRatio 0.1125

vbpAdjustment 1.0029675982

hhrAdjustment 0.997

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.185

medicaidRatio 0.1099

vbpAdjustment 1.0029675982

hhrAdjustment 0.997

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.185

medicaidRatio 0.1099

vbpAdjustment 1.0043385001

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.185

medicaidRatio 0.1099

vbpAdjustment 1.0043385001

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.189

medicaidRatio 0.1099

vbpAdjustment 1.0043385001

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.189

medicaidRatio 0.1099

vbpAdjustment 1.0043385001

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.125

deviceCostToChargeRatio 0.171

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.124

deviceCostToChargeRatio 0.166

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.124

deviceCostToChargeRatio 0.166

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.139

deviceCostToChargeRatio 0.178

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.14

deviceCostToChargeRatio 0.178

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.14

deviceCostToChargeRatio 0.178

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.145

deviceCostToChargeRatio 0.188

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.145

deviceCostToChargeRatio 0.188

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.145

deviceCostToChargeRatio 0.188

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.135

deviceCostToChargeRatio 0.19

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.135

deviceCostToChargeRatio 0.19

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.135

deviceCostToChargeRatio 0.179

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.135

deviceCostToChargeRatio 0.179

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.182

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.192

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.192

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.191

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.191

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.229

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.229

specialPaymentIndicator Y

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.229

specialPaymentIndicator Y

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 14500

providerType 00

operatingCostToChargeRatio 0.149

deviceCostToChargeRatio 0.212

specialPaymentIndicator Y

carrierCode 04112

localityCode 01

INTERMOUNTAIN HEALTH GOOD SAMARITAN HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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