CCN: 140206 NPI: 1972594877 Organization

HUMBOLDT PARK HEALTH

1044 NORTH FRANCISCO
CHICAGO, IL 60622

Contact Information

Phone 7732928200
Fax 7732783899
Enumeration Date 2005-10-31
Last Updated 2026-02-03

Taxonomies

Code: 282N00000X
Code: 273R00000X License State: IL
Code: 343900000X
Code: 282N00000X (Primary) License State: IL

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.322

medicaidRatio 0.5379

uncompensatedCareAmount 1247.49

internsToBedsRatio 0.1053

vbpAdjustment 0.9829308041

hhrAdjustment 0.9981

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.322

medicaidRatio 0.5379

uncompensatedCareAmount 1247.49

internsToBedsRatio 0.1053

vbpAdjustment 0.9829308041

hhrAdjustment 0.9981

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.322

medicaidRatio 0.5379

uncompensatedCareAmount 1247.49

internsToBedsRatio 0.1048

vbpAdjustment 0.9829308041

hhrAdjustment 0.9981

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.322

medicaidRatio 0.5379

uncompensatedCareAmount 1111.84

internsToBedsRatio 0.1048

vbpAdjustment 0.9906650845

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.345

medicaidRatio 0.5399

uncompensatedCareAmount 1111.84

internsToBedsRatio 0.0985

vbpAdjustment 0.9906650845

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.345

medicaidRatio 0.5399

uncompensatedCareAmount 1111.84

internsToBedsRatio 0.0985

vbpAdjustment 0.9906650845

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.345

medicaidRatio 0.5399

uncompensatedCareAmount 1111.84

internsToBedsRatio 0.0985

vbpAdjustment 0.9906650845

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.345

medicaidRatio 0.5399

uncompensatedCareAmount 1241.88

internsToBedsRatio 0.0985

hhrAdjustment 0.9976

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.313

medicaidRatio 0.5592

uncompensatedCareAmount 1241.88

internsToBedsRatio 0.0985

hhrAdjustment 0.9976

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.313

medicaidRatio 0.5592

uncompensatedCareAmount 1241.88

internsToBedsRatio 0.0985

hhrAdjustment 0.9976

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.313

medicaidRatio 0.5592

uncompensatedCareAmount 1241.88

internsToBedsRatio 0.0985

hhrAdjustment 0.9976

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.313

medicaidRatio 0.5592

uncompensatedCareAmount 1242.86

internsToBedsRatio 0.0985

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.245

medicaidRatio 0.5857

uncompensatedCareAmount 1242.86

internsToBedsRatio 0.0981

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.245

medicaidRatio 0.5857

uncompensatedCareAmount 1242.86

internsToBedsRatio 0.0981

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.245

medicaidRatio 0.5857

uncompensatedCareAmount 1242.86

internsToBedsRatio 0.0981

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.245

medicaidRatio 0.5857

uncompensatedCareAmount 1242.86

internsToBedsRatio 0.0981

hhrAdjustment 0.9966

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.245

medicaidRatio 0.5857

uncompensatedCareAmount 1129.09

internsToBedsRatio 0.0981

hhrAdjustment 0.9958

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.255

medicaidRatio 0.5651

uncompensatedCareAmount 1129.09

internsToBedsRatio 0.0975

hhrAdjustment 0.9958

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.255

medicaidRatio 0.5651

uncompensatedCareAmount 1129.09

internsToBedsRatio 0.0975

hhrAdjustment 0.9958

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.255

medicaidRatio 0.5651

uncompensatedCareAmount 1129.09

internsToBedsRatio 0.0975

hhrAdjustment 0.9958

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.255

medicaidRatio 0.5651

uncompensatedCareAmount 1129.09

internsToBedsRatio 0.0975

hhrAdjustment 0.9958

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.255

medicaidRatio 0.5651

uncompensatedCareAmount 931.3

internsToBedsRatio 0.0975

vbpAdjustment 1.0014915364

hhrAdjustment 0.9945

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.265

medicaidRatio 0.5691

uncompensatedCareAmount 931.3

internsToBedsRatio 0.0954

vbpAdjustment 1.0014915364

hhrAdjustment 0.9945

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.265

medicaidRatio 0.5691

uncompensatedCareAmount 931.3

internsToBedsRatio 0.0615

vbpAdjustment 1.0014915364

hhrAdjustment 0.9945

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.265

medicaidRatio 0.5691

uncompensatedCareAmount 1135.11

internsToBedsRatio 0.0615

vbpAdjustment 0.9994725449

hhrAdjustment 0.9939

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.307

medicaidRatio 0.5684

uncompensatedCareAmount 1135.11

internsToBedsRatio 0.0615

vbpAdjustment 0.9994725449

hhrAdjustment 0.9939

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.307

medicaidRatio 0.5684

uncompensatedCareAmount 1135.11

internsToBedsRatio 0.0615

vbpAdjustment 0.9994725449

hhrAdjustment 0.9939

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.307

medicaidRatio 0.5684

uncompensatedCareAmount 1135.11

internsToBedsRatio 0.0495

vbpAdjustment 0.9994725449

hhrAdjustment 0.9939

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.307

medicaidRatio 0.5684

uncompensatedCareAmount 1860.58

internsToBedsRatio 0.0495

vbpAdjustment 0.9990567068

hhrAdjustment 0.9944

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.307

medicaidRatio 0.5684

uncompensatedCareAmount 1860.58

internsToBedsRatio 0.0242

vbpAdjustment 0.9990567068

hhrAdjustment 0.9944

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.29

medicaidRatio 0.6198

uncompensatedCareAmount 1860.58

internsToBedsRatio 0.0242

vbpAdjustment 0.9990567068

hhrAdjustment 0.9944

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.29

medicaidRatio 0.6198

uncompensatedCareAmount 1860.58

internsToBedsRatio 0.0242

vbpAdjustment 0.9990567068

hhrAdjustment 0.9944

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.29

medicaidRatio 0.6198

uncompensatedCareAmount 2161.24

internsToBedsRatio 0.0242

vbpAdjustment 1.0000434706

hhrAdjustment 0.9949

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.29

medicaidRatio 0.6198

uncompensatedCareAmount 2161.24

internsToBedsRatio 0.0242

vbpAdjustment 1.0000434706

hhrAdjustment 0.9949

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.29

medicaidRatio 0.6198

uncompensatedCareAmount 2161.24

internsToBedsRatio 0.0169

vbpAdjustment 1.0000434706

hhrAdjustment 0.9949

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 0.9232

operatingCostToChargeRatio 0.286

medicaidRatio 0.6172

uncompensatedCareAmount 2161.24

internsToBedsRatio 0.0169

vbpAdjustment 1.0000434706

hhrAdjustment 0.9949

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.322

deviceCostToChargeRatio 0.339

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.322

deviceCostToChargeRatio 0.339

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.291

deviceCostToChargeRatio 0.425

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.291

deviceCostToChargeRatio 0.425

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.309

deviceCostToChargeRatio 0.575

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.309

deviceCostToChargeRatio 0.575

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.267

deviceCostToChargeRatio 0.829

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.267

deviceCostToChargeRatio 0.829

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.308

deviceCostToChargeRatio 0.836

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.308

deviceCostToChargeRatio 0.836

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.304

deviceCostToChargeRatio 0.859

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.304

deviceCostToChargeRatio 0.859

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.272

deviceCostToChargeRatio 0.72

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.272

deviceCostToChargeRatio 0.72

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.266

deviceCostToChargeRatio 0.699

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.266

deviceCostToChargeRatio 0.699

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.259

deviceCostToChargeRatio 0.653

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

HUMBOLDT PARK HEALTH

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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