CCN: 140145 NPI: 1457319154 Organization

ST JOSEPHS HOSPITAL

9515 HOLY CROSS LN , BOX 99
BREESE, IL 622303618

Contact Information

Phone 6185264511
Fax 6185262291
Enumeration Date 2006-05-02
Last Updated 2026-01-21

Taxonomies

Code: 282N00000X (Primary) License State: IL License: 0002527

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.277

medicaidRatio 0.1784

uncompensatedCareAmount 811.17

vbpAdjustment 1.0132732463

hhrAdjustment 0.9993

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.277

medicaidRatio 0.1784

uncompensatedCareAmount 811.17

vbpAdjustment 1.0132732463

hhrAdjustment 0.9993

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.267

medicaidRatio 0.2142

uncompensatedCareAmount 811.17

vbpAdjustment 1.0132732463

hhrAdjustment 0.9993

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.267

medicaidRatio 0.2142

uncompensatedCareAmount 811.17

vbpAdjustment 1.0132732463

hhrAdjustment 0.9993

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.264

medicaidRatio 0.2142

uncompensatedCareAmount 811.17

vbpAdjustment 1.0132732463

hhrAdjustment 0.9993

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.264

medicaidRatio 0.2142

uncompensatedCareAmount 629.8

vbpAdjustment 1.0247486064

hhrAdjustment 0.9967

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.264

medicaidRatio 0.2142

uncompensatedCareAmount 629.8

vbpAdjustment 1.0247486064

hhrAdjustment 0.9967

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.302

medicaidRatio 0.1937

uncompensatedCareAmount 629.8

vbpAdjustment 1.0247486064

hhrAdjustment 0.9967

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.302

medicaidRatio 0.1937

uncompensatedCareAmount 636.14

vbpAdjustment 1.0274527155

hhrAdjustment 0.9989

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.302

medicaidRatio 0.1937

uncompensatedCareAmount 636.14

vbpAdjustment 1.0274527155

hhrAdjustment 0.9989

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.344

medicaidRatio 0.2203

uncompensatedCareAmount 636.14

vbpAdjustment 1.0274527155

hhrAdjustment 0.9989

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.344

medicaidRatio 0.2203

uncompensatedCareAmount 683.42

hhrAdjustment 0.9968

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.344

medicaidRatio 0.2203

uncompensatedCareAmount 683.42

hhrAdjustment 0.9968

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.344

medicaidRatio 0.2203

uncompensatedCareAmount 683.42

hhrAdjustment 0.9968

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.33

medicaidRatio 0.2042

uncompensatedCareAmount 683.42

hhrAdjustment 0.9968

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.33

medicaidRatio 0.2042

uncompensatedCareAmount 683.42

hhrAdjustment 0.9968

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.33

medicaidRatio 0.2042

uncompensatedCareAmount 597.85

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.33

medicaidRatio 0.2042

uncompensatedCareAmount 597.85

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.424

medicaidRatio 0.2155

uncompensatedCareAmount 597.85

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.424

medicaidRatio 0.2155

uncompensatedCareAmount 597.85

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.424

medicaidRatio 0.2155

uncompensatedCareAmount 710.86

vbpAdjustment 1.0159261504

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.378

medicaidRatio 0.2107

uncompensatedCareAmount 710.86

vbpAdjustment 1.0159261504

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.378

medicaidRatio 0.2107

uncompensatedCareAmount 1712.82

vbpAdjustment 1.0062130412

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.378

medicaidRatio 0.2107

uncompensatedCareAmount 1712.82

vbpAdjustment 1.0062130412

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.442

medicaidRatio 0.1879

uncompensatedCareAmount 1712.82

vbpAdjustment 1.0062130412

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.442

medicaidRatio 0.1879

uncompensatedCareAmount 1116.05

vbpAdjustment 1.0134203441

hhrAdjustment 0.9999

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.442

medicaidRatio 0.1879

uncompensatedCareAmount 1116.05

vbpAdjustment 1.0134203441

hhrAdjustment 0.9999

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.442

medicaidRatio 0.1879

uncompensatedCareAmount 1116.05

vbpAdjustment 1.0134203441

hhrAdjustment 0.9999

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.476

medicaidRatio 0.1416

uncompensatedCareAmount 1116.05

vbpAdjustment 1.0134203441

hhrAdjustment 0.9999

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.476

medicaidRatio 0.1416

uncompensatedCareAmount 664.14

vbpAdjustment 1.0117997371

hhrAdjustment 0.9995

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.476

medicaidRatio 0.1416

uncompensatedCareAmount 664.14

vbpAdjustment 1.0117997371

hhrAdjustment 0.9995

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 1.0337

operatingCostToChargeRatio 0.478

medicaidRatio 0.2128

uncompensatedCareAmount 664.14

vbpAdjustment 1.0117997371

hhrAdjustment 0.9995

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.145

deviceCostToChargeRatio 0.66

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.145

deviceCostToChargeRatio 0.245

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.145

deviceCostToChargeRatio 0.245

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.143

deviceCostToChargeRatio 0.243

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.277

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.277

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.161

deviceCostToChargeRatio 0.646

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.161

deviceCostToChargeRatio 0.646

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.623

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.623

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.211

deviceCostToChargeRatio 0.63

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.211

deviceCostToChargeRatio 0.63

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.683

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.683

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.706

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.706

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.24

deviceCostToChargeRatio 0.669

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.24

deviceCostToChargeRatio 0.669

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.251

deviceCostToChargeRatio 0.676

specialPaymentIndicator

costOfLivingAdjustment 0.845

carrierCode 06102

localityCode 12

ST JOSEPHS HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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