CCN: 130028 NPI: 1790751055 Organization

PORTNEUF MEDICAL CENTER

777 HOSPITAL WAY
POCATELLO, ID 832015175

Contact Information

Phone 2082391000
Fax 2082391934
Enumeration Date 2006-02-27
Last Updated 2022-04-19

Taxonomies

Code: 282N00000X (Primary) License State: ID License: 12

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.144

medicaidRatio 0.2433

uncompensatedCareAmount 646.74

internsToBedsRatio 0.1116

vbpAdjustment 0.9919530833

hhrAdjustment 0.9979

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.131

medicaidRatio 0.2734

uncompensatedCareAmount 646.74

internsToBedsRatio 0.1163

vbpAdjustment 0.9919530833

hhrAdjustment 0.9979

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.131

medicaidRatio 0.2734

uncompensatedCareAmount 685.66

internsToBedsRatio 0.1163

vbpAdjustment 1.0025980462

hhrAdjustment 0.9987

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.131

medicaidRatio 0.2734

uncompensatedCareAmount 685.66

internsToBedsRatio 0.1163

vbpAdjustment 1.0025980462

hhrAdjustment 0.9987

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.162

medicaidRatio 0.2958

uncompensatedCareAmount 685.66

internsToBedsRatio 0.1168

vbpAdjustment 1.0025980462

hhrAdjustment 0.9987

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.162

medicaidRatio 0.2958

uncompensatedCareAmount 788.62

internsToBedsRatio 0.1168

vbpAdjustment 1.0060989935

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.162

medicaidRatio 0.2958

uncompensatedCareAmount 788.62

internsToBedsRatio 0.1168

vbpAdjustment 1.0060989935

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.162

medicaidRatio 0.2969

uncompensatedCareAmount 788.62

internsToBedsRatio 0.1216

vbpAdjustment 1.0060989935

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.162

medicaidRatio 0.2969

uncompensatedCareAmount 846.87

internsToBedsRatio 0.1216

hhrAdjustment 0.9981

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.162

medicaidRatio 0.2969

uncompensatedCareAmount 846.87

internsToBedsRatio 0.1216

hhrAdjustment 0.9981

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.162

medicaidRatio 0.2969

uncompensatedCareAmount 846.87

internsToBedsRatio 0.1216

hhrAdjustment 0.9981

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.181

medicaidRatio 0.2903

uncompensatedCareAmount 846.87

internsToBedsRatio 0.1036

hhrAdjustment 0.9981

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.181

medicaidRatio 0.2903

uncompensatedCareAmount 537.26

internsToBedsRatio 0.1036

hhrAdjustment 0.9974

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.181

medicaidRatio 0.2903

uncompensatedCareAmount 537.26

internsToBedsRatio 0.1036

hhrAdjustment 0.9974

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.181

medicaidRatio 0.2903

uncompensatedCareAmount 537.26

internsToBedsRatio 0.1036

hhrAdjustment 0.9974

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.212

medicaidRatio 0.2369

uncompensatedCareAmount 537.26

internsToBedsRatio 0.1035

hhrAdjustment 0.9974

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.212

medicaidRatio 0.2369

uncompensatedCareAmount 1498.18

internsToBedsRatio 0.1035

vbpAdjustment 0.9953969216

hhrAdjustment 0.9992

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.212

medicaidRatio 0.2204

uncompensatedCareAmount 1500.9

internsToBedsRatio 0.1039

vbpAdjustment 0.9953969216

hhrAdjustment 0.9992

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.212

medicaidRatio 0.2204

uncompensatedCareAmount 1354.62

internsToBedsRatio 0.1039

vbpAdjustment 1.0007597925

hhrAdjustment 0.9972

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.212

medicaidRatio 0.2204

uncompensatedCareAmount 1354.62

internsToBedsRatio 0.1039

vbpAdjustment 1.0007597925

hhrAdjustment 0.9972

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.212

medicaidRatio 0.2204

uncompensatedCareAmount 1072.87

internsToBedsRatio 0.1039

vbpAdjustment 0.9967338744

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.212

medicaidRatio 0.2204

uncompensatedCareAmount 1072.87

internsToBedsRatio 0.1039

vbpAdjustment 0.9967338744

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.225

medicaidRatio 0.2127

uncompensatedCareAmount 1072.87

internsToBedsRatio 0.1048

vbpAdjustment 0.9967338744

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 17

caseMixIndex 1.2822

operatingCostToChargeRatio 0.225

medicaidRatio 0.2127

uncompensatedCareAmount 1072.87

internsToBedsRatio 0.1048

vbpAdjustment 0.9967338744

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 16

caseMixIndex 1.2822

operatingCostToChargeRatio 0.225

medicaidRatio 0.2127

uncompensatedCareAmount 1072.87

internsToBedsRatio 0.1048

vbpAdjustment 0.9967338744

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 16

caseMixIndex 1.2822

operatingCostToChargeRatio 0.225

medicaidRatio 0.2127

uncompensatedCareAmount 1072.87

internsToBedsRatio 0.1048

vbpAdjustment 0.9967338744

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 16

caseMixIndex 1.2822

operatingCostToChargeRatio 0.225

medicaidRatio 0.2127

uncompensatedCareAmount 564.45

internsToBedsRatio 0.1048

vbpAdjustment 1.0037121416

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 38540

providerType 16

caseMixIndex 1.2822

operatingCostToChargeRatio 0.246

medicaidRatio 0.2014

uncompensatedCareAmount 564.45

internsToBedsRatio 0.1068

vbpAdjustment 1.0037121416

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.131

deviceCostToChargeRatio 0.155

specialPaymentIndicator Y

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.131

deviceCostToChargeRatio 0.155

specialPaymentIndicator D

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.14

deviceCostToChargeRatio 0.165

specialPaymentIndicator D

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.14

deviceCostToChargeRatio 0.165

specialPaymentIndicator D

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.179

specialPaymentIndicator D

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.179

specialPaymentIndicator D

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.164

deviceCostToChargeRatio 0.181

specialPaymentIndicator D

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.164

deviceCostToChargeRatio 0.181

specialPaymentIndicator D

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.175

deviceCostToChargeRatio 0.21

specialPaymentIndicator D

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.175

deviceCostToChargeRatio 0.21

specialPaymentIndicator D

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.198

deviceCostToChargeRatio 0.285

specialPaymentIndicator D

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.198

deviceCostToChargeRatio 0.285

specialPaymentIndicator D

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.2

deviceCostToChargeRatio 0.301

specialPaymentIndicator D

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.2

deviceCostToChargeRatio 0.301

specialPaymentIndicator Y

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 17

operatingCostToChargeRatio 0.213

deviceCostToChargeRatio 0.34

specialPaymentIndicator Y

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 16

operatingCostToChargeRatio 0.213

deviceCostToChargeRatio 0.34

specialPaymentIndicator Y

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 16

operatingCostToChargeRatio 0.213

deviceCostToChargeRatio 0.34

specialPaymentIndicator

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 38540

providerType 16

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.299

specialPaymentIndicator

costOfLivingAdjustment 0.787

carrierCode 02202

localityCode 00

PORTNEUF MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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