CCN: 160057 NPI: 1134168263 Organization

SOUTHEAST IOWA REGIONAL MEDICAL CENTER

1221 S GEAR AVE
WEST BURLINGTON, IA 526551679

Contact Information

Phone 3197683622
Fax 3197683633
Enumeration Date 2006-06-05
Last Updated 2026-03-06

Taxonomies

Code: 282N00000X (Primary) License State: IA License: 290147H

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.389

medicaidRatio 0.2239

uncompensatedCareAmount 715.94

vbpAdjustment 1.0028142984

hhrAdjustment 0.9982

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.389

medicaidRatio 0.2239

uncompensatedCareAmount 715.94

vbpAdjustment 1.0028142984

hhrAdjustment 0.9982

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.398

medicaidRatio 0.263

uncompensatedCareAmount 715.94

vbpAdjustment 1.0028142984

hhrAdjustment 0.9982

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.398

medicaidRatio 0.263

uncompensatedCareAmount 520.18

vbpAdjustment 0.9961094983

hhrAdjustment 0.9976

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.398

medicaidRatio 0.263

uncompensatedCareAmount 520.18

vbpAdjustment 0.9961094983

hhrAdjustment 0.9976

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.417

medicaidRatio 0.2438

uncompensatedCareAmount 520.18

vbpAdjustment 0.9961094983

hhrAdjustment 0.9976

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.417

medicaidRatio 0.2438

uncompensatedCareAmount 522.28

vbpAdjustment 1.0082343657

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.417

medicaidRatio 0.2438

uncompensatedCareAmount 522.28

vbpAdjustment 1.0082343657

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.441

medicaidRatio 0.2208

uncompensatedCareAmount 522.28

vbpAdjustment 1.0082343657

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.441

medicaidRatio 0.2208

uncompensatedCareAmount 522.28

vbpAdjustment 1.0082343657

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.441

medicaidRatio 0.2208

uncompensatedCareAmount 469.85

hhrAdjustment 0.9949

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.441

medicaidRatio 0.2208

uncompensatedCareAmount 469.85

hhrAdjustment 0.9949

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.344

medicaidRatio 0.2279

uncompensatedCareAmount 469.85

hhrAdjustment 0.9949

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.344

medicaidRatio 0.2279

uncompensatedCareAmount 442.56

hhrAdjustment 0.995

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.359

medicaidRatio 0.2147

uncompensatedCareAmount 442.56

hhrAdjustment 0.995

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.359

medicaidRatio 0.2147

uncompensatedCareAmount 442.56

hhrAdjustment 0.995

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.359

medicaidRatio 0.2147

uncompensatedCareAmount 442.56

hhrAdjustment 0.995

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.359

medicaidRatio 0.2052

uncompensatedCareAmount 442.56

hhrAdjustment 0.995

censusDivision 6

cbsaActualGeographicLocation 16

providerType 17

caseMixIndex 8.0402

operatingCostToChargeRatio 0.359

medicaidRatio 0.2052

uncompensatedCareAmount 628.07

vbpAdjustment 0.9965196138

hhrAdjustment 0.9886

censusDivision 6

cbsaActualGeographicLocation 16

providerType 07

caseMixIndex 8.0402

operatingCostToChargeRatio 0.359

medicaidRatio 0.2052

uncompensatedCareAmount 628.07

vbpAdjustment 0.9965196138

hhrAdjustment 0.9886

censusDivision 6

cbsaActualGeographicLocation 16

providerType 07

caseMixIndex 8.0402

operatingCostToChargeRatio 0.341

medicaidRatio 0.1869

uncompensatedCareAmount 628.07

vbpAdjustment 0.9965196138

hhrAdjustment 0.9886

censusDivision 6

cbsaActualGeographicLocation 16

providerType 07

caseMixIndex 8.0402

operatingCostToChargeRatio 0.341

medicaidRatio 0.1869

uncompensatedCareAmount 232.1

vbpAdjustment 1.0054406927

hhrAdjustment 0.9928

censusDivision 6

cbsaActualGeographicLocation 16

providerType 07

caseMixIndex 8.0402

operatingCostToChargeRatio 0.341

medicaidRatio 0.1869

uncompensatedCareAmount 232.1

vbpAdjustment 1.0054406927

hhrAdjustment 0.9928

censusDivision 6

cbsaActualGeographicLocation 16

providerType 07

caseMixIndex 8.0402

operatingCostToChargeRatio 0.33

medicaidRatio 0.1941

uncompensatedCareAmount 232.1

vbpAdjustment 1.0054406927

hhrAdjustment 0.9928

censusDivision 6

cbsaActualGeographicLocation 16

providerType 07

caseMixIndex 8.0402

operatingCostToChargeRatio 0.33

medicaidRatio 0.1941

uncompensatedCareAmount 678.92

vbpAdjustment 1.0042238239

hhrAdjustment 0.989

censusDivision 6

cbsaActualGeographicLocation 16

providerType 07

caseMixIndex 8.0402

operatingCostToChargeRatio 0.33

medicaidRatio 0.1941

uncompensatedCareAmount 678.92

vbpAdjustment 1.0042238239

hhrAdjustment 0.989

censusDivision 6

cbsaActualGeographicLocation 16

providerType 07

caseMixIndex 8.0402

operatingCostToChargeRatio 0.33

medicaidRatio 0.197

uncompensatedCareAmount 678.92

vbpAdjustment 1.0042238239

hhrAdjustment 0.989

censusDivision 6

cbsaActualGeographicLocation 16

providerType 07

caseMixIndex 8.0402

operatingCostToChargeRatio 0.33

medicaidRatio 0.197

uncompensatedCareAmount 678.92

vbpAdjustment 1.0042238239

hhrAdjustment 0.989

censusDivision 6

cbsaActualGeographicLocation 16

providerType 07

caseMixIndex 8.0402

operatingCostToChargeRatio 0.328

medicaidRatio 0.1804

uncompensatedCareAmount 678.92

vbpAdjustment 1.0042238239

hhrAdjustment 0.989

censusDivision 6

cbsaActualGeographicLocation 16

providerType 07

caseMixIndex 8.0402

operatingCostToChargeRatio 0.328

medicaidRatio 0.1804

uncompensatedCareAmount 468.7

vbpAdjustment 1.0067200388

hhrAdjustment 0.9885

censusDivision 6

cbsaActualGeographicLocation 16

providerType 07

caseMixIndex 8.0402

operatingCostToChargeRatio 0.328

medicaidRatio 0.1804

uncompensatedCareAmount 468.7

vbpAdjustment 1.0067200388

hhrAdjustment 0.9885

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16

providerType 17

operatingCostToChargeRatio 0.294

deviceCostToChargeRatio 0.781

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 17

operatingCostToChargeRatio 0.335

deviceCostToChargeRatio 0.717

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 17

operatingCostToChargeRatio 0.335

deviceCostToChargeRatio 0.717

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 17

operatingCostToChargeRatio 0.337

deviceCostToChargeRatio 0.717

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 17

operatingCostToChargeRatio 0.334

deviceCostToChargeRatio 0.717

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 17

operatingCostToChargeRatio 0.371

deviceCostToChargeRatio 0.742

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 17

operatingCostToChargeRatio 0.371

deviceCostToChargeRatio 0.742

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 17

operatingCostToChargeRatio 0.367

deviceCostToChargeRatio 0.667

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 17

operatingCostToChargeRatio 0.367

deviceCostToChargeRatio 0.667

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 17

operatingCostToChargeRatio 0.322

deviceCostToChargeRatio 0.654

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 17

operatingCostToChargeRatio 0.322

deviceCostToChargeRatio 0.654

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 17

operatingCostToChargeRatio 0.323

deviceCostToChargeRatio 0.707

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 17

operatingCostToChargeRatio 0.323

deviceCostToChargeRatio 0.707

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 07

operatingCostToChargeRatio 0.323

deviceCostToChargeRatio 0.707

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 07

operatingCostToChargeRatio 0.304

deviceCostToChargeRatio 0.618

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 07

operatingCostToChargeRatio 0.304

deviceCostToChargeRatio 0.618

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 07

operatingCostToChargeRatio 0.289

deviceCostToChargeRatio 0.586

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 07

operatingCostToChargeRatio 0.289

deviceCostToChargeRatio 0.586

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 07

operatingCostToChargeRatio 0.277

deviceCostToChargeRatio 0.514

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 07

operatingCostToChargeRatio 0.277

deviceCostToChargeRatio 0.514

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

cbsaActualGeographicLocation 16

providerType 07

operatingCostToChargeRatio 0.267

deviceCostToChargeRatio 0.51

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 05102

localityCode 00

SOUTHEAST IOWA REGIONAL MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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