CCN: 140294 NPI: 1124745807 Organization

DEACONESS ILLINOIS CROSSROADS

8 DOCTORS PARK RD
MOUNT VERNON, IL 628646224

Contact Information

Phone 6182445500
Fax 6182445566
Enumeration Date 2022-10-24
Last Updated 2026-04-01

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.24

medicaidRatio 0.1022

uncompensatedCareAmount 894.86

vbpAdjustment 1.0039061666

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.24

medicaidRatio 0.1022

uncompensatedCareAmount 894.86

vbpAdjustment 1.0039061666

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.24

medicaidRatio 0.1022

uncompensatedCareAmount 894.86

vbpAdjustment 1.0039061666

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.24

medicaidRatio 0.1022

uncompensatedCareAmount 637.31

vbpAdjustment 0.9928279338

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.268

medicaidRatio 0.2059

uncompensatedCareAmount 637.31

vbpAdjustment 0.9928279338

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.268

medicaidRatio 0.2059

uncompensatedCareAmount 637.31

vbpAdjustment 0.9928279338

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.268

medicaidRatio 0.2059

uncompensatedCareAmount 637.31

vbpAdjustment 0.9928279338

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.268

medicaidRatio 0.2059

uncompensatedCareAmount 497.82

vbpAdjustment 0.9834798658

hhrAdjustment 0.9875

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.291

medicaidRatio 0.1348

uncompensatedCareAmount 497.82

vbpAdjustment 0.9834798658

hhrAdjustment 0.9875

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.291

medicaidRatio 0.1348

uncompensatedCareAmount 497.82

vbpAdjustment 0.9834798658

hhrAdjustment 0.9875

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.203

medicaidRatio 0.1206

uncompensatedCareAmount 497.82

vbpAdjustment 0.9834798658

hhrAdjustment 0.9875

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.203

medicaidRatio 0.1206

uncompensatedCareAmount 352.23

hhrAdjustment 0.9899

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.203

medicaidRatio 0.1206

uncompensatedCareAmount 352.23

hhrAdjustment 0.9899

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.203

medicaidRatio 0.1206

uncompensatedCareAmount 352.23

hhrAdjustment 0.9899

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.203

medicaidRatio 0.1206

uncompensatedCareAmount 352.23

hhrAdjustment 0.9899

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.203

medicaidRatio 0.1206

uncompensatedCareAmount 352.23

hhrAdjustment 0.9899

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.201

medicaidRatio 0.1118

uncompensatedCareAmount 352.23

hhrAdjustment 0.9899

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.201

medicaidRatio 0.1118

uncompensatedCareAmount 269.74

hhrAdjustment 0.9939

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.201

medicaidRatio 0.1118

uncompensatedCareAmount 269.74

hhrAdjustment 0.9939

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.201

medicaidRatio 0.1118

uncompensatedCareAmount 269.74

hhrAdjustment 0.9939

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.173

medicaidRatio 0.1408

uncompensatedCareAmount 269.74

hhrAdjustment 0.9939

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.173

medicaidRatio 0.1408

uncompensatedCareAmount 320.85

vbpAdjustment 1.0012776903

hhrAdjustment 0.9956

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.185

medicaidRatio 0.1516

uncompensatedCareAmount 320.85

vbpAdjustment 1.0012776903

hhrAdjustment 0.9956

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.185

medicaidRatio 0.1516

uncompensatedCareAmount 513.76

vbpAdjustment 1.0030924411

hhrAdjustment 0.9949

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.185

medicaidRatio 0.1516

uncompensatedCareAmount 513.76

vbpAdjustment 1.0030924411

hhrAdjustment 0.9949

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.185

medicaidRatio 0.1516

uncompensatedCareAmount 390.75

vbpAdjustment 1.0042712286

hhrAdjustment 0.9895

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.185

medicaidRatio 0.1516

uncompensatedCareAmount 390.75

vbpAdjustment 1.0042712286

hhrAdjustment 0.9895

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.202

medicaidRatio 0.1525

uncompensatedCareAmount 390.75

vbpAdjustment 1.0042712286

hhrAdjustment 0.9895

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.202

medicaidRatio 0.1525

uncompensatedCareAmount 390.75

vbpAdjustment 1.0042712286

hhrAdjustment 0.9895

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.202

medicaidRatio 0.1525

uncompensatedCareAmount 198.6

vbpAdjustment 0.9981162138

hhrAdjustment 0.9902

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.203

medicaidRatio 0.1472

uncompensatedCareAmount 198.6

vbpAdjustment 0.9981162138

hhrAdjustment 0.9902

censusDivision 4

cbsaActualGeographicLocation 14

providerType 14

caseMixIndex 0.9449

operatingCostToChargeRatio 0.203

medicaidRatio 0.1472

uncompensatedCareAmount 198.6

vbpAdjustment 0.9981162138

hhrAdjustment 0.9902

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.136

deviceCostToChargeRatio 0.157

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.136

deviceCostToChargeRatio 0.157

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.178

deviceCostToChargeRatio 0.199

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.178

deviceCostToChargeRatio 0.199

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.178

deviceCostToChargeRatio 0.199

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.156

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.156

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.156

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.136

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.136

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.136

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.107

deviceCostToChargeRatio 0.148

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.107

deviceCostToChargeRatio 0.148

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.105

deviceCostToChargeRatio 0.165

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.105

deviceCostToChargeRatio 0.165

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.183

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.183

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 14

operatingCostToChargeRatio 0.118

deviceCostToChargeRatio 0.242

specialPaymentIndicator

costOfLivingAdjustment 0.855

carrierCode 06102

localityCode 99

DEACONESS ILLINOIS CROSSROADS

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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