CCN: 100072 NPI: 1700978558 Organization

ADVENTHEALTH FISH MEMORIAL

1055 SAXON BLVD
ORANGE CITY, FL 327638468

Contact Information

Phone 3869175000
Fax 3869175019
Enumeration Date 2006-09-29
Last Updated 2025-11-17

Taxonomies

Code: 282N00000X (Primary) License State: FL License: 4408

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.213

medicaidRatio 0.1297

uncompensatedCareAmount 1076.94

vbpAdjustment 1.0143363811

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.213

medicaidRatio 0.1297

uncompensatedCareAmount 1076.94

vbpAdjustment 1.0143363811

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.213

medicaidRatio 0.1428

uncompensatedCareAmount 1076.94

vbpAdjustment 1.0143363811

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.213

medicaidRatio 0.1428

uncompensatedCareAmount 790.47

vbpAdjustment 1.0118833821

hhrAdjustment 0.9988

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.21

medicaidRatio 0.1428

uncompensatedCareAmount 790.47

vbpAdjustment 1.0118833821

hhrAdjustment 0.9988

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.21

medicaidRatio 0.1428

uncompensatedCareAmount 790.47

vbpAdjustment 1.0118833821

hhrAdjustment 0.9988

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.21

medicaidRatio 0.1793

uncompensatedCareAmount 790.47

vbpAdjustment 1.0118833821

hhrAdjustment 0.9988

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.21

medicaidRatio 0.1793

uncompensatedCareAmount 787.07

vbpAdjustment 1.0082343657

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.213

medicaidRatio 0.1793

uncompensatedCareAmount 787.07

vbpAdjustment 1.0082343657

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.213

medicaidRatio 0.1793

uncompensatedCareAmount 787.07

vbpAdjustment 1.0082343657

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.213

medicaidRatio 0.1413

uncompensatedCareAmount 787.07

vbpAdjustment 1.0082343657

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.213

medicaidRatio 0.1413

hhrAdjustment 0.9929

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.209

medicaidRatio 0.1413

hhrAdjustment 0.9929

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.209

medicaidRatio 0.1413

hhrAdjustment 0.9929

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.209

medicaidRatio 0.0899

hhrAdjustment 0.9929

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.209

medicaidRatio 0.0899

uncompensatedCareAmount 681.03

hhrAdjustment 0.9831

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.194

medicaidRatio 0.0899

uncompensatedCareAmount 681.03

hhrAdjustment 0.9831

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 07

caseMixIndex 0.972

operatingCostToChargeRatio 0.194

medicaidRatio 0.0899

uncompensatedCareAmount 681.03

hhrAdjustment 0.9831

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.194

medicaidRatio 0.0899

uncompensatedCareAmount 681.03

hhrAdjustment 0.9831

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.194

medicaidRatio 0.0899

uncompensatedCareAmount 681.03

hhrAdjustment 0.9831

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.194

medicaidRatio 0.0899

uncompensatedCareAmount 681.03

hhrAdjustment 0.9831

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.194

medicaidRatio 0.094

uncompensatedCareAmount 863.19

vbpAdjustment 1.0038973054

hhrAdjustment 0.9816

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.185

medicaidRatio 0.094

uncompensatedCareAmount 863.19

vbpAdjustment 1.0038973054

hhrAdjustment 0.9816

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.185

medicaidRatio 0.094

uncompensatedCareAmount 780.27

vbpAdjustment 1.0005725565

hhrAdjustment 0.9859

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.19

medicaidRatio 0.0921

uncompensatedCareAmount 780.27

vbpAdjustment 1.0005725565

hhrAdjustment 0.9859

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.19

medicaidRatio 0.0921

uncompensatedCareAmount 780.27

vbpAdjustment 1.0005725565

hhrAdjustment 0.9859

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.19

medicaidRatio 0.0921

uncompensatedCareAmount 780.27

vbpAdjustment 1.0005725565

hhrAdjustment 0.9859

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.19

medicaidRatio 0.0962

uncompensatedCareAmount 780.27

vbpAdjustment 1.0005725565

hhrAdjustment 0.9859

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.19

medicaidRatio 0.0962

uncompensatedCareAmount 712.37

vbpAdjustment 1.0026120626

hhrAdjustment 0.9896

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.199

medicaidRatio 0.0962

uncompensatedCareAmount 712.37

vbpAdjustment 1.0026120626

hhrAdjustment 0.9896

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.199

medicaidRatio 0.0962

uncompensatedCareAmount 712.37

vbpAdjustment 1.0026120626

hhrAdjustment 0.9896

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.199

medicaidRatio 0.0962

uncompensatedCareAmount 712.37

vbpAdjustment 1.0026120626

hhrAdjustment 0.9896

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.199

medicaidRatio 0.1064

uncompensatedCareAmount 712.37

vbpAdjustment 1.0026120626

hhrAdjustment 0.9896

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.199

medicaidRatio 0.1064

uncompensatedCareAmount 450.49

vbpAdjustment 0.99594805

hhrAdjustment 0.9884

censusDivision 3

cbsaActualGeographicLocation 19660

providerType 00

caseMixIndex 0.972

operatingCostToChargeRatio 0.206

medicaidRatio 0.1064

uncompensatedCareAmount 450.49

vbpAdjustment 0.99594805

hhrAdjustment 0.9884

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 19660

providerType 07

operatingCostToChargeRatio 0.121

deviceCostToChargeRatio 0.407

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 07

operatingCostToChargeRatio 0.121

deviceCostToChargeRatio 0.407

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 07

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.458

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 07

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.458

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 07

operatingCostToChargeRatio 0.134

deviceCostToChargeRatio 0.456

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 07

operatingCostToChargeRatio 0.134

deviceCostToChargeRatio 0.456

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 07

operatingCostToChargeRatio 0.141

deviceCostToChargeRatio 0.478

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 07

operatingCostToChargeRatio 0.141

deviceCostToChargeRatio 0.478

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 07

operatingCostToChargeRatio 0.135

deviceCostToChargeRatio 0.457

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 00

operatingCostToChargeRatio 0.135

deviceCostToChargeRatio 0.457

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 00

operatingCostToChargeRatio 0.135

deviceCostToChargeRatio 0.457

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 00

operatingCostToChargeRatio 0.125

deviceCostToChargeRatio 0.429

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 00

operatingCostToChargeRatio 0.125

deviceCostToChargeRatio 0.429

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 00

operatingCostToChargeRatio 0.136

deviceCostToChargeRatio 0.364

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 00

operatingCostToChargeRatio 0.136

deviceCostToChargeRatio 0.364

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 00

operatingCostToChargeRatio 0.136

deviceCostToChargeRatio 0.364

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 00

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.386

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 00

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.386

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 19660

providerType 00

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.386

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

ADVENTHEALTH FISH MEMORIAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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