CCN: 130002 NPI: 1932154705 Organization

ST LUKE'S MAGIC VALLEY RMC

801 POLE LINE RD W
TWIN FALLS, ID 833015810

Contact Information

Phone 2088141000
Enumeration Date 2006-05-23
Last Updated 2022-12-08

Taxonomies

Code: 3416A0800X
Code: 341600000X License State: ID
Code: 282N00000X (Primary) License State: ID License: 14

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.267

medicaidRatio 0.2473

uncompensatedCareAmount 1658.92

vbpAdjustment 1.0025269647

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.267

medicaidRatio 0.2473

uncompensatedCareAmount 1500.02

vbpAdjustment 1.0143445554

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.267

medicaidRatio 0.2807

uncompensatedCareAmount 1500.02

vbpAdjustment 1.0143445554

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.267

medicaidRatio 0.2807

uncompensatedCareAmount 1500.02

vbpAdjustment 1.0143445554

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.267

medicaidRatio 0.2807

uncompensatedCareAmount 1523.01

vbpAdjustment 1.0068107843

hhrAdjustment 0.997

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.297

medicaidRatio 0.2574

uncompensatedCareAmount 1523.01

vbpAdjustment 1.0068107843

hhrAdjustment 0.997

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.297

medicaidRatio 0.2574

uncompensatedCareAmount 1523.01

vbpAdjustment 1.0068107843

hhrAdjustment 0.997

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.297

medicaidRatio 0.2574

uncompensatedCareAmount 1299.14

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.261

medicaidRatio 0.2469

uncompensatedCareAmount 1299.14

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.261

medicaidRatio 0.2469

uncompensatedCareAmount 1299.14

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.261

medicaidRatio 0.2469

uncompensatedCareAmount 1299.14

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.261

medicaidRatio 0.2469

uncompensatedCareAmount 1194.59

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.288

medicaidRatio 0.2285

uncompensatedCareAmount 1194.59

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.288

medicaidRatio 0.2285

uncompensatedCareAmount 1194.59

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.288

medicaidRatio 0.2285

uncompensatedCareAmount 1194.59

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.288

medicaidRatio 0.2285

uncompensatedCareAmount 726.85

vbpAdjustment 1.0122373046

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.294

medicaidRatio 0.221

uncompensatedCareAmount 726.85

vbpAdjustment 1.0122373046

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.294

medicaidRatio 0.2192

uncompensatedCareAmount 726.85

vbpAdjustment 1.0122373046

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.294

medicaidRatio 0.2192

uncompensatedCareAmount 1053.04

vbpAdjustment 1.0077577383

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.301

medicaidRatio 0.2077

uncompensatedCareAmount 1053.04

vbpAdjustment 1.0077577383

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.301

medicaidRatio 0.2077

uncompensatedCareAmount 1053.04

vbpAdjustment 1.0077577383

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.301

medicaidRatio 0.2077

uncompensatedCareAmount 1053.04

vbpAdjustment 1.0077577383

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.301

medicaidRatio 0.2077

uncompensatedCareAmount 1106.63

vbpAdjustment 1.0092487267

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.301

medicaidRatio 0.2077

uncompensatedCareAmount 1106.63

vbpAdjustment 1.0092487267

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.301

medicaidRatio 0.2077

uncompensatedCareAmount 1106.63

vbpAdjustment 1.0092487267

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 46300

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.343

medicaidRatio 0.2065

uncompensatedCareAmount 1106.63

vbpAdjustment 1.0092487267

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 13

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.343

medicaidRatio 0.2065

uncompensatedCareAmount 641.0

vbpAdjustment 1.0065823776

hhrAdjustment 0.9998

censusDivision 8

cbsaActualGeographicLocation 13

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.343

medicaidRatio 0.2065

uncompensatedCareAmount 641.0

vbpAdjustment 1.0065823776

hhrAdjustment 0.9998

censusDivision 8

cbsaActualGeographicLocation 13

providerType 17

caseMixIndex 1.3202

operatingCostToChargeRatio 0.402

medicaidRatio 0.2116

uncompensatedCareAmount 641.0

vbpAdjustment 1.0065823776

hhrAdjustment 0.9998

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.32

deviceCostToChargeRatio 0.764

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.32

deviceCostToChargeRatio 0.764

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.332

deviceCostToChargeRatio 0.688

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.332

deviceCostToChargeRatio 0.688

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.356

deviceCostToChargeRatio 0.707

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.356

deviceCostToChargeRatio 0.707

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.339

deviceCostToChargeRatio 0.788

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.339

deviceCostToChargeRatio 0.788

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.357

deviceCostToChargeRatio 0.75

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.357

deviceCostToChargeRatio 0.75

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.326

deviceCostToChargeRatio 0.739

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.326

deviceCostToChargeRatio 0.739

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.345

deviceCostToChargeRatio 0.74

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.345

deviceCostToChargeRatio 6.74

specialPaymentIndicator Y

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.345

deviceCostToChargeRatio 0.74

specialPaymentIndicator

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 46300

providerType 17

operatingCostToChargeRatio 0.356

deviceCostToChargeRatio 0.78

specialPaymentIndicator

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 17

operatingCostToChargeRatio 0.356

deviceCostToChargeRatio 0.78

specialPaymentIndicator

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 13

providerType 17

operatingCostToChargeRatio 0.316

deviceCostToChargeRatio 0.699

specialPaymentIndicator

costOfLivingAdjustment 0.886

carrierCode 02202

localityCode 00

ST LUKE'S MAGIC VALLEY RMC

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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