CCN: 100307 NPI: 1396926747 Organization

ASCENSION ST VINCENT'S SOUTHSIDE

4201 BELFORT RD
JACKSONVILLE, FL 322161431

Contact Information

Phone 9042963700
Enumeration Date 2007-11-14
Last Updated 2022-04-28

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.151

medicaidRatio 0.2965

uncompensatedCareAmount 2089.2

hhrAdjustment 0.995

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.151

medicaidRatio 0.2965

uncompensatedCareAmount 2089.2

hhrAdjustment 0.995

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.166

medicaidRatio 0.2965

uncompensatedCareAmount 2089.2

hhrAdjustment 0.995

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.166

medicaidRatio 0.2965

uncompensatedCareAmount 1385.57

vbpAdjustment 0.9974519565

hhrAdjustment 0.9932

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.166

medicaidRatio 0.2965

uncompensatedCareAmount 1385.57

vbpAdjustment 0.9974519565

hhrAdjustment 0.9932

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.166

medicaidRatio 0.2335

uncompensatedCareAmount 1385.57

vbpAdjustment 0.9974519565

hhrAdjustment 0.9932

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.176

medicaidRatio 0.2335

uncompensatedCareAmount 1385.57

vbpAdjustment 0.9974519565

hhrAdjustment 0.9932

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.176

medicaidRatio 0.2335

uncompensatedCareAmount 1214.96

vbpAdjustment 1.0056244664

hhrAdjustment 0.9966

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.176

medicaidRatio 0.2335

uncompensatedCareAmount 1214.96

vbpAdjustment 1.0056244664

hhrAdjustment 0.9966

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.176

medicaidRatio 0.2234

uncompensatedCareAmount 1214.96

vbpAdjustment 1.0056244664

hhrAdjustment 0.9966

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.222

medicaidRatio 0.2234

uncompensatedCareAmount 1214.96

vbpAdjustment 1.0056244664

hhrAdjustment 0.9966

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.222

medicaidRatio 0.2234

uncompensatedCareAmount 950.01

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.192

medicaidRatio 0.2234

uncompensatedCareAmount 950.01

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.192

medicaidRatio 0.1954

uncompensatedCareAmount 950.01

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.192

medicaidRatio 0.1954

uncompensatedCareAmount 868.65

hhrAdjustment 0.9897

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.192

medicaidRatio 0.1693

uncompensatedCareAmount 868.65

hhrAdjustment 0.9897

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.192

medicaidRatio 0.1693

uncompensatedCareAmount 868.65

hhrAdjustment 0.9897

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.168

medicaidRatio 0.1693

uncompensatedCareAmount 868.65

hhrAdjustment 0.9897

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.168

medicaidRatio 0.1693

uncompensatedCareAmount 868.65

hhrAdjustment 0.9897

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.168

medicaidRatio 0.1693

uncompensatedCareAmount 868.65

hhrAdjustment 0.9897

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.168

medicaidRatio 0.1693

uncompensatedCareAmount 776.03

vbpAdjustment 0.9987649982

hhrAdjustment 0.9898

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.168

medicaidRatio 0.1801

uncompensatedCareAmount 776.03

vbpAdjustment 0.9987649982

hhrAdjustment 0.9898

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.157

medicaidRatio 0.1801

uncompensatedCareAmount 776.03

vbpAdjustment 0.9987649982

hhrAdjustment 0.9898

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.157

medicaidRatio 0.1801

uncompensatedCareAmount 732.09

vbpAdjustment 0.9973661398

hhrAdjustment 0.97

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.157

medicaidRatio 0.1801

uncompensatedCareAmount 732.09

vbpAdjustment 0.9973661398

hhrAdjustment 0.97

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.157

medicaidRatio 0.1801

uncompensatedCareAmount 732.09

vbpAdjustment 0.9973661398

hhrAdjustment 0.97

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.157

medicaidRatio 0.1798

uncompensatedCareAmount 732.09

vbpAdjustment 0.9973661398

hhrAdjustment 0.97

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.161

medicaidRatio 0.1798

uncompensatedCareAmount 732.09

vbpAdjustment 0.9973661398

hhrAdjustment 0.97

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.161

medicaidRatio 0.1798

uncompensatedCareAmount 646.21

vbpAdjustment 0.999767778

hhrAdjustment 0.9868

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.161

medicaidRatio 0.1798

uncompensatedCareAmount 646.21

vbpAdjustment 0.999767778

hhrAdjustment 0.9868

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.161

medicaidRatio 0.1629

uncompensatedCareAmount 646.21

vbpAdjustment 0.999767778

hhrAdjustment 0.9868

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.164

medicaidRatio 0.1629

uncompensatedCareAmount 646.21

vbpAdjustment 0.999767778

hhrAdjustment 0.9868

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.164

medicaidRatio 0.1629

uncompensatedCareAmount 646.21

vbpAdjustment 0.999767778

hhrAdjustment 0.9868

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.164

medicaidRatio 0.1629

uncompensatedCareAmount 524.99

vbpAdjustment 0.9966501221

hhrAdjustment 0.9789

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.164

medicaidRatio 0.1629

uncompensatedCareAmount 524.99

vbpAdjustment 0.9966501221

hhrAdjustment 0.9789

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.164

medicaidRatio 0.1629

uncompensatedCareAmount 524.99

vbpAdjustment 0.9966501221

hhrAdjustment 0.9789

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.17

deviceCostToChargeRatio 0.19

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.157

deviceCostToChargeRatio 0.231

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.157

deviceCostToChargeRatio 0.231

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.229

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.229

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.218

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.218

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.223

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.223

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.122

deviceCostToChargeRatio 0.221

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.122

deviceCostToChargeRatio 0.221

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.122

deviceCostToChargeRatio 0.221

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.114

deviceCostToChargeRatio 0.227

specialPaymentIndicator D

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 07

operatingCostToChargeRatio 0.114

deviceCostToChargeRatio 0.227

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.114

deviceCostToChargeRatio 0.227

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.095

deviceCostToChargeRatio 0.231

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.095

deviceCostToChargeRatio 0.231

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.095

deviceCostToChargeRatio 0.231

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.107

deviceCostToChargeRatio 0.233

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.107

deviceCostToChargeRatio 0.233

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 00

operatingCostToChargeRatio 0.106

deviceCostToChargeRatio 0.233

specialPaymentIndicator

carrierCode 09102

localityCode 99

ASCENSION ST VINCENT'S SOUTHSIDE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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