CCN: 100077 NPI: 1760299093 Organization

ADVENTHEALTH PORT CHARLOTTE

2500 HARBOR BLVD
PORT CHARLOTTE, FL 339525000

Contact Information

Phone 9417664122
Enumeration Date 2024-12-11
Last Updated 2026-02-09

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.088

medicaidRatio 0.1352

uncompensatedCareAmount 639.54

vbpAdjustment 1.0009753625

hhrAdjustment 0.9842

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.085

medicaidRatio 0.1352

uncompensatedCareAmount 639.54

vbpAdjustment 1.0009753625

hhrAdjustment 0.9842

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.085

medicaidRatio 0.1352

uncompensatedCareAmount 639.54

vbpAdjustment 1.0009753625

hhrAdjustment 0.9842

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.101

medicaidRatio 0.1523

uncompensatedCareAmount 639.54

vbpAdjustment 1.0009753625

hhrAdjustment 0.9842

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.101

medicaidRatio 0.1523

uncompensatedCareAmount 437.96

vbpAdjustment 1.001255588

hhrAdjustment 0.984

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.101

medicaidRatio 0.1523

uncompensatedCareAmount 437.96

vbpAdjustment 1.001255588

hhrAdjustment 0.984

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.105

medicaidRatio 0.1709

uncompensatedCareAmount 437.96

vbpAdjustment 1.001255588

hhrAdjustment 0.984

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.105

medicaidRatio 0.1709

uncompensatedCareAmount 420.84

vbpAdjustment 1.000760563

hhrAdjustment 0.9846

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.105

medicaidRatio 0.1709

uncompensatedCareAmount 420.84

vbpAdjustment 1.000760563

hhrAdjustment 0.9846

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.105

medicaidRatio 0.1709

uncompensatedCareAmount 369.96

hhrAdjustment 0.983

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.092

medicaidRatio 0.149

uncompensatedCareAmount 369.96

hhrAdjustment 0.983

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.092

medicaidRatio 0.149

uncompensatedCareAmount 369.96

hhrAdjustment 0.983

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.08

medicaidRatio 0.1413

uncompensatedCareAmount 369.96

hhrAdjustment 0.983

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.08

medicaidRatio 0.1413

uncompensatedCareAmount 360.01

hhrAdjustment 0.9746

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.08

medicaidRatio 0.1413

uncompensatedCareAmount 360.01

hhrAdjustment 0.9746

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.08

medicaidRatio 0.1413

uncompensatedCareAmount 360.01

hhrAdjustment 0.9746

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.08

medicaidRatio 0.1459

uncompensatedCareAmount 360.01

hhrAdjustment 0.9746

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.08

medicaidRatio 0.1459

uncompensatedCareAmount 363.68

vbpAdjustment 1.002453844

hhrAdjustment 0.9733

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.083

medicaidRatio 0.1621

uncompensatedCareAmount 363.68

vbpAdjustment 1.002453844

hhrAdjustment 0.9733

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.083

medicaidRatio 0.1621

uncompensatedCareAmount 344.26

vbpAdjustment 0.9949788807

hhrAdjustment 0.9839

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.083

medicaidRatio 0.1621

uncompensatedCareAmount 344.26

vbpAdjustment 0.9949788807

hhrAdjustment 0.9839

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.083

medicaidRatio 0.1621

uncompensatedCareAmount 412.17

vbpAdjustment 1.0025883602

hhrAdjustment 0.9856

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.083

medicaidRatio 0.1621

uncompensatedCareAmount 412.17

vbpAdjustment 1.0025883602

hhrAdjustment 0.9856

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.086

medicaidRatio 0.1589

uncompensatedCareAmount 412.17

vbpAdjustment 1.0025883602

hhrAdjustment 0.9856

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.086

medicaidRatio 0.1589

uncompensatedCareAmount 412.17

vbpAdjustment 1.0025883602

hhrAdjustment 0.9856

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.086

medicaidRatio 0.1589

uncompensatedCareAmount 412.17

vbpAdjustment 1.0025883602

hhrAdjustment 0.9856

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.086

medicaidRatio 0.1589

uncompensatedCareAmount 412.17

vbpAdjustment 1.0025883602

hhrAdjustment 0.9856

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.086

medicaidRatio 0.1589

uncompensatedCareAmount 409.08

vbpAdjustment 0.9971663516

hhrAdjustment 0.9862

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.103

medicaidRatio 0.1578

uncompensatedCareAmount 409.08

vbpAdjustment 0.9971663516

hhrAdjustment 0.9862

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.103

medicaidRatio 0.1578

uncompensatedCareAmount 409.08

vbpAdjustment 0.9971663516

hhrAdjustment 0.9862

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.103

medicaidRatio 0.1578

uncompensatedCareAmount 381.1

vbpAdjustment 0.996739632

hhrAdjustment 0.9833

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.1548

uncompensatedCareAmount 381.1

vbpAdjustment 0.996739632

hhrAdjustment 0.9833

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.1548

uncompensatedCareAmount 381.1

vbpAdjustment 0.996739632

hhrAdjustment 0.9833

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.1548

uncompensatedCareAmount 426.47

vbpAdjustment 0.9996933883

hhrAdjustment 0.9873

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.1548

uncompensatedCareAmount 426.47

vbpAdjustment 0.9996933883

hhrAdjustment 0.9873

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.106

medicaidRatio 0.1716

uncompensatedCareAmount 426.47

vbpAdjustment 0.9996933883

hhrAdjustment 0.9873

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.106

medicaidRatio 0.1716

uncompensatedCareAmount 553.07

vbpAdjustment 0.9941652362

hhrAdjustment 0.9869

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.11

medicaidRatio 0.1814

uncompensatedCareAmount 553.07

vbpAdjustment 0.9941652362

hhrAdjustment 0.9869

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.11

medicaidRatio 0.1814

uncompensatedCareAmount 553.07

vbpAdjustment 0.9941652362

hhrAdjustment 0.9869

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.11

medicaidRatio 0.1814

uncompensatedCareAmount 553.07

vbpAdjustment 0.9941652362

hhrAdjustment 0.9869

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.11

medicaidRatio 0.1814

vbpAdjustment 0.995764658

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.107

medicaidRatio 0.1944

vbpAdjustment 0.995764658

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.114

medicaidRatio 0.1904

vbpAdjustment 0.995764658

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.114

medicaidRatio 0.1904

vbpAdjustment 0.9977536462

hhrAdjustment 0.998

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.166

medicaidRatio 0.2118

vbpAdjustment 0.9977536462

hhrAdjustment 0.998

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.166

medicaidRatio 0.2118

vbpAdjustment 0.9977536462

hhrAdjustment 0.998

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.166

medicaidRatio 0.2118

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.167

medicaidRatio 0.2089

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.167

medicaidRatio 0.2089

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.167

medicaidRatio 0.2089

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.182

medicaidRatio 0.1797

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.182

medicaidRatio 0.1797

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.195

medicaidRatio 0.164

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.195

medicaidRatio 0.164

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.219

medicaidRatio 0.136

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.219

medicaidRatio 0.136

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.219

medicaidRatio 0.136

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.217

medicaidRatio 0.1341

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.212

medicaidRatio 0.1341

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.212

medicaidRatio 0.1341

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.212

medicaidRatio 0.1341

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.217

medicaidRatio 0.1248

censusDivision 3

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.217

medicaidRatio 0.1248

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.057

deviceCostToChargeRatio 0.188

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.059

deviceCostToChargeRatio 0.136

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.059

deviceCostToChargeRatio 0.136

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.066

deviceCostToChargeRatio 0.267

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.066

deviceCostToChargeRatio 0.267

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.071

deviceCostToChargeRatio 0.297

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.071

deviceCostToChargeRatio 0.297

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.064

deviceCostToChargeRatio 0.133

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.064

deviceCostToChargeRatio 0.133

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.057

deviceCostToChargeRatio 0.108

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.057

deviceCostToChargeRatio 0.108

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.059

deviceCostToChargeRatio 0.122

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.059

deviceCostToChargeRatio 0.122

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.058

deviceCostToChargeRatio 0.089

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.058

deviceCostToChargeRatio 0.089

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 07

operatingCostToChargeRatio 0.06

deviceCostToChargeRatio 0.089

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.06

deviceCostToChargeRatio 0.089

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.06

deviceCostToChargeRatio 0.089

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.077

deviceCostToChargeRatio 0.112

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.077

deviceCostToChargeRatio 0.112

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.073

deviceCostToChargeRatio 0.107

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.073

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.082

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.082

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.083

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.083

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.092

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.089

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.089

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.113

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.113

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.126

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.126

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.133

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.133

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.133

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.126

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.126

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.133

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.134

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.134

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.134

specialPaymentIndicator 1

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 39460

providerType 00

operatingCostToChargeRatio 0.214

specialPaymentIndicator 1

carrierCode 09102

localityCode 99

ADVENTHEALTH PORT CHARLOTTE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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