CCN: 120026 NPI: 1013961408 Organization

PALI MOMI MEDICAL CENTER

98-1079 MOANALUA RD
AIEA, HI 967014713

Contact Information

Phone 8084866000
Enumeration Date 2006-05-20
Last Updated 2025-10-09

Taxonomies

Code: 282N00000X (Primary) License State: HI License: 37-H

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.302

medicaidRatio 0.1767

uncompensatedCareAmount 287.15

internsToBedsRatio 0.1145

vbpAdjustment 1.0061186364

hhrAdjustment 0.997

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.302

medicaidRatio 0.1992

uncompensatedCareAmount 287.15

internsToBedsRatio 0.1165

vbpAdjustment 1.0061186364

hhrAdjustment 0.997

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.302

medicaidRatio 0.1992

uncompensatedCareAmount 202.4

internsToBedsRatio 0.1165

vbpAdjustment 1.0050592196

hhrAdjustment 0.9948

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.302

medicaidRatio 0.1992

uncompensatedCareAmount 202.4

internsToBedsRatio 0.1165

vbpAdjustment 1.0050592196

hhrAdjustment 0.9948

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.312

medicaidRatio 0.1833

uncompensatedCareAmount 202.4

internsToBedsRatio 0.1145

vbpAdjustment 1.0050592196

hhrAdjustment 0.9948

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.312

medicaidRatio 0.1833

uncompensatedCareAmount 241.26

internsToBedsRatio 0.1145

vbpAdjustment 1.0045172363

hhrAdjustment 0.9978

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.312

medicaidRatio 0.1833

uncompensatedCareAmount 241.26

internsToBedsRatio 0.0909

vbpAdjustment 1.0045172363

hhrAdjustment 0.9978

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.312

medicaidRatio 0.1833

uncompensatedCareAmount 241.26

internsToBedsRatio 0.0909

vbpAdjustment 1.0045172363

hhrAdjustment 0.9978

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.323

medicaidRatio 0.2016

uncompensatedCareAmount 241.26

internsToBedsRatio 0.1004

vbpAdjustment 1.0045172363

hhrAdjustment 0.9978

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.323

medicaidRatio 0.2016

uncompensatedCareAmount 271.91

internsToBedsRatio 0.1004

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.323

medicaidRatio 0.2016

uncompensatedCareAmount 271.91

internsToBedsRatio 0.1004

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.33

medicaidRatio 0.1842

uncompensatedCareAmount 271.91

internsToBedsRatio 0.0837

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.33

medicaidRatio 0.1842

uncompensatedCareAmount 271.91

internsToBedsRatio 0.0837

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.325

medicaidRatio 0.1842

uncompensatedCareAmount 271.91

internsToBedsRatio 0.0837

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.325

medicaidRatio 0.1842

uncompensatedCareAmount 287.73

internsToBedsRatio 0.0837

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.325

medicaidRatio 0.1842

uncompensatedCareAmount 287.73

internsToBedsRatio 0.0837

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.363

medicaidRatio 0.17

uncompensatedCareAmount 287.73

internsToBedsRatio 0.0741

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.363

medicaidRatio 0.17

uncompensatedCareAmount 287.73

internsToBedsRatio 0.0741

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.363

medicaidRatio 0.17

uncompensatedCareAmount 402.94

internsToBedsRatio 0.0741

vbpAdjustment 1.0208178807

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.327

medicaidRatio 0.1715

uncompensatedCareAmount 402.94

internsToBedsRatio 0.0736

vbpAdjustment 1.0208178807

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.327

medicaidRatio 0.1715

uncompensatedCareAmount 300.35

internsToBedsRatio 0.0736

vbpAdjustment 1.0147322796

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.327

medicaidRatio 0.1715

uncompensatedCareAmount 300.35

internsToBedsRatio 0.0736

vbpAdjustment 1.0147322796

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.327

medicaidRatio 0.1715

uncompensatedCareAmount 300.35

internsToBedsRatio 0.0736

vbpAdjustment 1.0147322796

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.344

medicaidRatio 0.1759

uncompensatedCareAmount 300.35

internsToBedsRatio 0.0491

vbpAdjustment 1.0147322796

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.344

medicaidRatio 0.1759

uncompensatedCareAmount 300.35

internsToBedsRatio 0.0491

vbpAdjustment 1.0147322796

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.344

medicaidRatio 0.1759

uncompensatedCareAmount 572.4

internsToBedsRatio 0.0491

vbpAdjustment 1.0151743196

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.344

medicaidRatio 0.1759

uncompensatedCareAmount 572.4

internsToBedsRatio 0.0491

vbpAdjustment 1.0151743196

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.344

medicaidRatio 0.1759

uncompensatedCareAmount 572.4

internsToBedsRatio 0.0491

vbpAdjustment 1.0151743196

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.325

medicaidRatio 0.1551

uncompensatedCareAmount 572.4

internsToBedsRatio 0.0244

vbpAdjustment 1.0151743196

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.325

medicaidRatio 0.1551

uncompensatedCareAmount 738.68

internsToBedsRatio 0.0244

vbpAdjustment 1.0087161262

hhrAdjustment 0.9965

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.325

medicaidRatio 0.1551

uncompensatedCareAmount 738.68

internsToBedsRatio 0.0244

vbpAdjustment 1.0087161262

hhrAdjustment 0.9965

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.248

deviceCostToChargeRatio 0.431

specialPaymentIndicator D

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.248

deviceCostToChargeRatio 0.426

specialPaymentIndicator D

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.248

deviceCostToChargeRatio 0.426

specialPaymentIndicator D

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.26

deviceCostToChargeRatio 0.479

specialPaymentIndicator D

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.26

deviceCostToChargeRatio 0.479

specialPaymentIndicator D

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.256

deviceCostToChargeRatio 0.576

specialPaymentIndicator D

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.256

deviceCostToChargeRatio 0.576

specialPaymentIndicator D

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.26

deviceCostToChargeRatio 0.623

specialPaymentIndicator D

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.26

deviceCostToChargeRatio 0.623

specialPaymentIndicator Y

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.257

deviceCostToChargeRatio 0.611

specialPaymentIndicator Y

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.274

deviceCostToChargeRatio 0.702

specialPaymentIndicator Y

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.274

deviceCostToChargeRatio 0.702

specialPaymentIndicator Y

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.263

deviceCostToChargeRatio 0.691

specialPaymentIndicator Y

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 07

operatingCostToChargeRatio 0.263

deviceCostToChargeRatio 0.691

specialPaymentIndicator Y

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.263

deviceCostToChargeRatio 0.691

specialPaymentIndicator Y

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.26

deviceCostToChargeRatio 0.692

specialPaymentIndicator Y

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.26

deviceCostToChargeRatio 0.692

specialPaymentIndicator

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.26

deviceCostToChargeRatio 0.692

specialPaymentIndicator

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.247

deviceCostToChargeRatio 0.71

specialPaymentIndicator

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.247

deviceCostToChargeRatio 0.71

specialPaymentIndicator

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 00

operatingCostToChargeRatio 0.248

deviceCostToChargeRatio 0.729

specialPaymentIndicator

carrierCode 01212

localityCode 01

PALI MOMI MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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