CCN: 100313 NPI: 1083941678 Organization

ASCENSION SACRED HEART GULF

3801 E HIGHWAY 98
PORT ST JOE, FL 324565318

Contact Information

Phone 8502295600
Fax 8504167453
Enumeration Date 2009-11-03
Last Updated 2021-03-05

Taxonomies

Code: 275N00000X License State: FL
Code: 282NR1301X (Primary) License State: FL

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.357

medicaidRatio 0.1802

uncompensatedCareAmount 3716.83

hhrAdjustment 0.994

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.357

medicaidRatio 0.1802

uncompensatedCareAmount 3716.83

hhrAdjustment 0.994

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.357

medicaidRatio 0.1802

uncompensatedCareAmount 3716.83

hhrAdjustment 0.994

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.388

medicaidRatio 0.1802

uncompensatedCareAmount 3716.83

hhrAdjustment 0.994

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.388

medicaidRatio 0.1802

uncompensatedCareAmount 2497.94

hhrAdjustment 0.9998

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.421

medicaidRatio 0.1802

uncompensatedCareAmount 2497.94

hhrAdjustment 0.9998

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.421

medicaidRatio 0.1802

uncompensatedCareAmount 2497.94

hhrAdjustment 0.9998

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.421

medicaidRatio 0.2346

uncompensatedCareAmount 2497.94

hhrAdjustment 0.9998

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.421

medicaidRatio 0.2346

uncompensatedCareAmount 2615.71

hhrAdjustment 0.9999

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.421

medicaidRatio 0.2346

uncompensatedCareAmount 2615.71

hhrAdjustment 0.9999

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.421

medicaidRatio 0.2107

uncompensatedCareAmount 2615.71

hhrAdjustment 0.9999

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.36

medicaidRatio 0.2107

uncompensatedCareAmount 2615.71

hhrAdjustment 0.9999

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.36

medicaidRatio 0.2107

uncompensatedCareAmount 2875.74

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.36

medicaidRatio 0.2107

uncompensatedCareAmount 2875.74

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.36

medicaidRatio 0.2102

uncompensatedCareAmount 2875.74

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.394

medicaidRatio 0.2102

uncompensatedCareAmount 2875.74

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.394

medicaidRatio 0.2102

uncompensatedCareAmount 2875.74

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.394

medicaidRatio 0.2102

uncompensatedCareAmount 2901.28

hhrAdjustment 0.9988

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.394

medicaidRatio 0.1701

uncompensatedCareAmount 2901.28

hhrAdjustment 0.9988

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.394

medicaidRatio 0.1701

uncompensatedCareAmount 2901.28

hhrAdjustment 0.9988

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.443

medicaidRatio 0.1701

uncompensatedCareAmount 2901.28

hhrAdjustment 0.9988

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.443

medicaidRatio 0.1701

uncompensatedCareAmount 2901.28

hhrAdjustment 0.9988

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.443

medicaidRatio 0.1701

uncompensatedCareAmount 3206.57

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.443

medicaidRatio 0.1547

uncompensatedCareAmount 3206.57

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.528

medicaidRatio 0.1547

uncompensatedCareAmount 3206.57

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 10

providerType 00

operatingCostToChargeRatio 0.528

medicaidRatio 0.1547

uncompensatedCareAmount 3206.57

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.528

medicaidRatio 0.1547

uncompensatedCareAmount 2815.66

vbpAdjustment 1.0249366421

hhrAdjustment 0.9905

censusDivision 3

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.528

medicaidRatio 0.1547

uncompensatedCareAmount 2815.66

vbpAdjustment 1.0249366421

hhrAdjustment 0.9905

censusDivision 3

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.528

medicaidRatio 0.1239

uncompensatedCareAmount 2815.66

vbpAdjustment 1.0249366421

hhrAdjustment 0.9905

censusDivision 3

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.494

medicaidRatio 0.1239

uncompensatedCareAmount 2815.66

vbpAdjustment 1.0249366421

hhrAdjustment 0.9905

censusDivision 3

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.494

medicaidRatio 0.1239

uncompensatedCareAmount 1325.52

vbpAdjustment 1.0112871306

hhrAdjustment 0.9988

censusDivision 3

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.494

medicaidRatio 0.1239

uncompensatedCareAmount 1325.52

vbpAdjustment 1.0112871306

hhrAdjustment 0.9988

censusDivision 3

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.492

medicaidRatio 0.1464

uncompensatedCareAmount 1325.52

vbpAdjustment 1.0112871306

hhrAdjustment 0.9988

censusDivision 3

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.492

medicaidRatio 0.1464

uncompensatedCareAmount 434.37

vbpAdjustment 1.0067888694

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.492

medicaidRatio 0.1285

uncompensatedCareAmount 434.37

vbpAdjustment 1.0067888694

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.492

medicaidRatio 0.1285

uncompensatedCareAmount 434.37

vbpAdjustment 1.0067888694

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.611

medicaidRatio 0.1285

uncompensatedCareAmount 434.37

vbpAdjustment 1.0067888694

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.445

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.445

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.141

deviceCostToChargeRatio 0.286

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.163

deviceCostToChargeRatio 0.876

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.163

deviceCostToChargeRatio 0.876

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.195

deviceCostToChargeRatio 0.524

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.195

deviceCostToChargeRatio 0.524

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.195

deviceCostToChargeRatio 0.524

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.473

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.473

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.288

deviceCostToChargeRatio 0.377

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.288

deviceCostToChargeRatio 0.377

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.341

deviceCostToChargeRatio 0.5

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 37460

providerType 16

operatingCostToChargeRatio 0.341

deviceCostToChargeRatio 0.5

specialPaymentIndicator Y

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.341

deviceCostToChargeRatio 0.5

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 0.268

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 0.268

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.382

deviceCostToChargeRatio 0.318

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 37460

providerType 00

operatingCostToChargeRatio 0.382

deviceCostToChargeRatio 0.318

specialPaymentIndicator

carrierCode 09102

localityCode 99

ASCENSION SACRED HEART GULF

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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