CCN: 140179 NPI: 1215572045 Organization

OSF LITTLE COMPANY OF MARY MEDICAL CENTER

2800 W 95TH ST
EVERGREEN PARK, IL 608052701

Contact Information

Phone 7084226200
Enumeration Date 2019-11-15
Last Updated 2024-03-18

Taxonomies

Code: 261Q00000X
Code: 261QU0200X
Code: 261QX0100X
Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.211

medicaidRatio 0.274

uncompensatedCareAmount 505.44

internsToBedsRatio 0.0726

vbpAdjustment 1.0004868952

hhrAdjustment 0.9892

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.211

medicaidRatio 0.274

uncompensatedCareAmount 505.44

internsToBedsRatio 0.0726

vbpAdjustment 1.0004868952

hhrAdjustment 0.9892

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.211

medicaidRatio 0.274

uncompensatedCareAmount 505.44

internsToBedsRatio 0.0711

vbpAdjustment 1.0004868952

hhrAdjustment 0.9892

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.211

medicaidRatio 0.274

uncompensatedCareAmount 525.71

internsToBedsRatio 0.0711

vbpAdjustment 1.0017030741

hhrAdjustment 0.9872

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.237

medicaidRatio 0.2737

uncompensatedCareAmount 525.71

internsToBedsRatio 0.0675

vbpAdjustment 1.0017030741

hhrAdjustment 0.9872

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.237

medicaidRatio 0.2737

uncompensatedCareAmount 525.71

internsToBedsRatio 0.0675

vbpAdjustment 1.0017030741

hhrAdjustment 0.9872

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.237

medicaidRatio 0.2737

uncompensatedCareAmount 525.71

internsToBedsRatio 0.0681

vbpAdjustment 1.0017030741

hhrAdjustment 0.9872

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.237

medicaidRatio 0.2737

uncompensatedCareAmount 626.23

internsToBedsRatio 0.0681

vbpAdjustment 1.0065735207

hhrAdjustment 0.9919

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.264

medicaidRatio 0.2712

uncompensatedCareAmount 626.23

internsToBedsRatio 0.0529

vbpAdjustment 1.0065735207

hhrAdjustment 0.9919

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.264

medicaidRatio 0.2712

uncompensatedCareAmount 626.23

internsToBedsRatio 0.0527

vbpAdjustment 1.0065735207

hhrAdjustment 0.9919

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.264

medicaidRatio 0.2712

uncompensatedCareAmount 791.43

internsToBedsRatio 0.0527

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.236

medicaidRatio 0.2448

uncompensatedCareAmount 791.43

internsToBedsRatio 0.0118

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.236

medicaidRatio 0.2448

uncompensatedCareAmount 791.43

internsToBedsRatio 0.0118

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.236

medicaidRatio 0.2448

uncompensatedCareAmount 791.43

internsToBedsRatio 0.0118

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.236

medicaidRatio 0.2448

uncompensatedCareAmount 744.01

internsToBedsRatio 0.0118

hhrAdjustment 0.9931

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.266

medicaidRatio 0.2475

uncompensatedCareAmount 744.01

internsToBedsRatio 0.0118

hhrAdjustment 0.9931

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.266

medicaidRatio 0.2475

uncompensatedCareAmount 744.01

internsToBedsRatio 0.0118

hhrAdjustment 0.9931

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.266

medicaidRatio 0.2475

uncompensatedCareAmount 744.01

internsToBedsRatio 0.0118

hhrAdjustment 0.9931

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.266

medicaidRatio 0.2475

uncompensatedCareAmount 1726.6

internsToBedsRatio 0.0118

vbpAdjustment 1.00405769

hhrAdjustment 0.9921

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.169

medicaidRatio 0.2225

uncompensatedCareAmount 1726.6

internsToBedsRatio 0.0129

vbpAdjustment 1.00405769

hhrAdjustment 0.9921

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.169

medicaidRatio 0.2077

uncompensatedCareAmount 1726.6

internsToBedsRatio 0.0133

vbpAdjustment 1.00405769

hhrAdjustment 0.9921

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.169

medicaidRatio 0.2077

uncompensatedCareAmount 693.9

internsToBedsRatio 0.0133

vbpAdjustment 1.0042470631

hhrAdjustment 0.9882

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.169

medicaidRatio 0.2077

uncompensatedCareAmount 693.9

internsToBedsRatio 0.0133

vbpAdjustment 1.0042470631

hhrAdjustment 0.9882

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.179

medicaidRatio 0.2138

uncompensatedCareAmount 693.9

internsToBedsRatio 0.0112

vbpAdjustment 1.0042470631

hhrAdjustment 0.9882

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.179

medicaidRatio 0.2138

uncompensatedCareAmount 693.9

internsToBedsRatio 0.0112

vbpAdjustment 1.0042470631

hhrAdjustment 0.9882

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.179

medicaidRatio 0.2138

uncompensatedCareAmount 627.37

internsToBedsRatio 0.0112

vbpAdjustment 1.0020432057

hhrAdjustment 0.9844

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.179

medicaidRatio 0.2138

uncompensatedCareAmount 627.37

internsToBedsRatio 0.0112

vbpAdjustment 1.0020432057

hhrAdjustment 0.9844

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.179

medicaidRatio 0.2138

uncompensatedCareAmount 627.37

internsToBedsRatio 0.0101

vbpAdjustment 1.0020432057

hhrAdjustment 0.9844

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.179

medicaidRatio 0.2138

uncompensatedCareAmount 627.37

internsToBedsRatio 0.0101

vbpAdjustment 1.0020432057

hhrAdjustment 0.9844

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.179

medicaidRatio 0.2103

uncompensatedCareAmount 627.37

internsToBedsRatio 0.0099

vbpAdjustment 1.0020432057

hhrAdjustment 0.9844

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0392

operatingCostToChargeRatio 0.179

medicaidRatio 0.2103

uncompensatedCareAmount 363.53

internsToBedsRatio 0.0099

vbpAdjustment 0.998825169

hhrAdjustment 0.9816

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.179

medicaidRatio 0.2103

uncompensatedCareAmount 363.53

internsToBedsRatio 0.0079

vbpAdjustment 0.998825169

hhrAdjustment 0.9816

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.179

medicaidRatio 0.2103

uncompensatedCareAmount 363.53

internsToBedsRatio 0.0079

vbpAdjustment 0.998825169

hhrAdjustment 0.9816

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.179

medicaidRatio 0.2103

uncompensatedCareAmount 363.53

internsToBedsRatio 0.0079

vbpAdjustment 0.998825169

hhrAdjustment 0.9816

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.15

deviceCostToChargeRatio 0.175

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.15

deviceCostToChargeRatio 0.175

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.174

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.174

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.172

deviceCostToChargeRatio 0.167

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.178

deviceCostToChargeRatio 0.19

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.178

deviceCostToChargeRatio 0.19

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.214

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.214

specialPaymentIndicator D

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.145

deviceCostToChargeRatio 0.2

specialPaymentIndicator D

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 07

operatingCostToChargeRatio 0.145

deviceCostToChargeRatio 0.2

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 07

operatingCostToChargeRatio 0.154

deviceCostToChargeRatio 0.243

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 07

operatingCostToChargeRatio 0.154

deviceCostToChargeRatio 0.243

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 07

operatingCostToChargeRatio 0.152

deviceCostToChargeRatio 0.252

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 07

operatingCostToChargeRatio 0.152

deviceCostToChargeRatio 0.252

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.152

deviceCostToChargeRatio 0.252

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.152

deviceCostToChargeRatio 0.252

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.177

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

OSF LITTLE COMPANY OF MARY MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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