CCN: 130066 NPI: 1104824739 Organization

NORTHWEST SPECIALTY HOSPITAL

1593 E POLSTON AVE
POST FALLS, ID 838545326

Contact Information

Phone 2082622300
Fax 2082622390
Enumeration Date 2005-07-08
Last Updated 2026-03-09

Taxonomies

Code: 261QM1300X
Code: 282N00000X (Primary) License State: ID License: 65

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.249

medicaidRatio 0.0501

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.249

medicaidRatio 0.0501

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.271

medicaidRatio 0.0437

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.271

medicaidRatio 0.0437

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.271

medicaidRatio 0.0437

hhrAdjustment 0.9975

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.271

medicaidRatio 0.0526

hhrAdjustment 0.9975

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.271

medicaidRatio 0.0526

hhrAdjustment 0.9975

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.282

medicaidRatio 0.0603

hhrAdjustment 0.9975

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.282

medicaidRatio 0.0603

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.282

medicaidRatio 0.0603

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.282

medicaidRatio 0.0603

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.297

medicaidRatio 0.0381

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.297

medicaidRatio 0.0381

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.297

medicaidRatio 0.0381

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.297

medicaidRatio 0.0381

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.296

medicaidRatio 0.0082

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.296

medicaidRatio 0.0082

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.319

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.319

hhrAdjustment 0.9702

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.319

hhrAdjustment 0.9702

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.319

hhrAdjustment 0.97

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.319

hhrAdjustment 0.97

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.346

hhrAdjustment 0.97

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.346

hhrAdjustment 0.97

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.346

hhrAdjustment 0.9741

censusDivision 8

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.354

hhrAdjustment 0.9741

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.284

deviceCostToChargeRatio 0.276

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.284

deviceCostToChargeRatio 0.276

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.29

deviceCostToChargeRatio 0.282

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.29

deviceCostToChargeRatio 0.282

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.279

deviceCostToChargeRatio 0.287

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.279

deviceCostToChargeRatio 0.287

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.336

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.336

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.294

deviceCostToChargeRatio 0.349

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.294

deviceCostToChargeRatio 0.349

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.325

deviceCostToChargeRatio 0.328

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.381

deviceCostToChargeRatio 0.323

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.381

deviceCostToChargeRatio 0.323

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.381

deviceCostToChargeRatio 0.323

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.401

deviceCostToChargeRatio 0.319

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.401

deviceCostToChargeRatio 0.319

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

cbsaActualGeographicLocation 17660

providerType 00

operatingCostToChargeRatio 0.415

deviceCostToChargeRatio 0.304

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02202

localityCode 00

NORTHWEST SPECIALTY HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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