CCN: 150058 NPI: 1295772093 Organization

MEMORIAL HOSPITAL OF SOUTH BEND

615 N MICHIGAN ST
SOUTH BEND, IN 466011033

Contact Information

Phone 5746471000
Enumeration Date 2006-06-01
Last Updated 2024-11-15

Taxonomies

Code: 207P00000X License State: IN License: 005053
Code: 225X00000X License State: IN License: 005053
Code: 261QC1500X License State: IN License: 005053
Code: 273R00000X
Code: 273Y00000X License State: IN License: 06-005053
Code: 332B00000X License State: IN License: 005053
Code: 341600000X
Code: 3416A0800X License State: IN License: 005053
Code: 282N00000X (Primary) License State: IN License: 06-005053

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 07

caseMixIndex 1.7018

operatingCostToChargeRatio 0.228

medicaidRatio 0.3531

uncompensatedCareAmount 736.2

internsToBedsRatio 0.0496

vbpAdjustment 0.9978721582

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 07

caseMixIndex 1.7018

operatingCostToChargeRatio 0.228

medicaidRatio 0.3531

uncompensatedCareAmount 736.2

internsToBedsRatio 0.0496

vbpAdjustment 0.9978721582

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 07

caseMixIndex 1.7018

operatingCostToChargeRatio 0.228

medicaidRatio 0.3531

uncompensatedCareAmount 660.66

internsToBedsRatio 0.0496

vbpAdjustment 1.0020759792

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 07

caseMixIndex 1.7018

operatingCostToChargeRatio 0.221

medicaidRatio 0.3833

uncompensatedCareAmount 660.66

internsToBedsRatio 0.05

vbpAdjustment 1.0020759792

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 07

caseMixIndex 1.7018

operatingCostToChargeRatio 0.221

medicaidRatio 0.3833

uncompensatedCareAmount 660.66

internsToBedsRatio 0.05

vbpAdjustment 1.0020759792

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.221

medicaidRatio 0.3833

uncompensatedCareAmount 660.66

internsToBedsRatio 0.05

vbpAdjustment 1.0020759792

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.221

medicaidRatio 0.3833

uncompensatedCareAmount 660.66

internsToBedsRatio 0.05

vbpAdjustment 1.0020759792

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.251

medicaidRatio 0.3728

uncompensatedCareAmount 660.66

internsToBedsRatio 0.0482

vbpAdjustment 1.0020759792

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.251

medicaidRatio 0.3728

uncompensatedCareAmount 679.95

internsToBedsRatio 0.0482

vbpAdjustment 0.9940776389

hhrAdjustment 0.9986

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.251

medicaidRatio 0.3728

uncompensatedCareAmount 679.95

internsToBedsRatio 0.0482

vbpAdjustment 0.9940776389

hhrAdjustment 0.9986

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.248

medicaidRatio 0.363

uncompensatedCareAmount 693.34

internsToBedsRatio 0.0499

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.248

medicaidRatio 0.363

uncompensatedCareAmount 693.34

internsToBedsRatio 0.0499

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.227

medicaidRatio 0.3697

uncompensatedCareAmount 693.34

internsToBedsRatio 0.0497

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.227

medicaidRatio 0.3697

uncompensatedCareAmount 566.09

internsToBedsRatio 0.0497

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.227

medicaidRatio 0.3697

uncompensatedCareAmount 566.09

internsToBedsRatio 0.0497

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.227

medicaidRatio 0.3697

uncompensatedCareAmount 566.09

internsToBedsRatio 0.0497

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.233

medicaidRatio 0.3466

uncompensatedCareAmount 566.09

internsToBedsRatio 0.0561

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.233

medicaidRatio 0.3466

uncompensatedCareAmount 573.56

internsToBedsRatio 0.0561

vbpAdjustment 0.9970007676

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.233

medicaidRatio 0.3457

uncompensatedCareAmount 573.56

internsToBedsRatio 0.0561

vbpAdjustment 0.9970007676

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.236

medicaidRatio 0.3382

uncompensatedCareAmount 573.56

internsToBedsRatio 0.0533

vbpAdjustment 0.9970007676

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.236

medicaidRatio 0.3382

uncompensatedCareAmount 669.4

internsToBedsRatio 0.0533

vbpAdjustment 0.9953533527

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.236

medicaidRatio 0.3382

uncompensatedCareAmount 669.4

internsToBedsRatio 0.0533

vbpAdjustment 0.9953533527

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.236

medicaidRatio 0.3382

uncompensatedCareAmount 1075.05

internsToBedsRatio 0.0533

vbpAdjustment 0.9992700282

hhrAdjustment 0.9992

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.236

medicaidRatio 0.3382

uncompensatedCareAmount 1075.05

internsToBedsRatio 0.0533

vbpAdjustment 0.9992700282

hhrAdjustment 0.9992

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.233

medicaidRatio 0.3632

uncompensatedCareAmount 1075.05

internsToBedsRatio 0.0548

vbpAdjustment 0.9992700282

hhrAdjustment 0.9992

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.233

medicaidRatio 0.3632

uncompensatedCareAmount 1075.05

internsToBedsRatio 0.0548

vbpAdjustment 0.9992700282

hhrAdjustment 0.9992

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.233

medicaidRatio 0.3632

uncompensatedCareAmount 1049.73

internsToBedsRatio 0.0548

vbpAdjustment 0.9991073745

hhrAdjustment 0.9995

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.242

medicaidRatio 0.3797

uncompensatedCareAmount 1049.73

internsToBedsRatio 0.0522

vbpAdjustment 0.9991073745

hhrAdjustment 0.9995

censusDivision 4

cbsaActualGeographicLocation 43780

providerType 00

caseMixIndex 1.7018

operatingCostToChargeRatio 0.242

medicaidRatio 0.3809

uncompensatedCareAmount 1049.73

internsToBedsRatio 0.0522

vbpAdjustment 0.9991073745

hhrAdjustment 0.9995

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 43780

providerType 07

operatingCostToChargeRatio 0.165

deviceCostToChargeRatio 0.224

specialPaymentIndicator D

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 07

operatingCostToChargeRatio 0.165

deviceCostToChargeRatio 0.224

specialPaymentIndicator Y

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 07

operatingCostToChargeRatio 0.169

deviceCostToChargeRatio 0.199

specialPaymentIndicator Y

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.169

deviceCostToChargeRatio 0.199

specialPaymentIndicator Y

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.169

deviceCostToChargeRatio 0.199

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.232

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.232

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.193

deviceCostToChargeRatio 0.218

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.193

deviceCostToChargeRatio 0.218

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.193

deviceCostToChargeRatio 0.24

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.193

deviceCostToChargeRatio 0.24

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.195

deviceCostToChargeRatio 0.21

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.195

deviceCostToChargeRatio 0.21

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.204

deviceCostToChargeRatio 0.212

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.204

deviceCostToChargeRatio 0.212

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.211

deviceCostToChargeRatio 0.217

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.211

deviceCostToChargeRatio 0.217

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 43780

providerType 00

operatingCostToChargeRatio 0.234

deviceCostToChargeRatio 0.214

specialPaymentIndicator

carrierCode 08102

localityCode 00

MEMORIAL HOSPITAL OF SOUTH BEND

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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