CCN: 200018 NPI: 1396858999 Organization

NORTHERN LIGHT A R GOULD HOSPITAL

140 ACADEMY ST
PRESQUE ISLE, ME 047693102

Contact Information

Phone 2077684000
Enumeration Date 2006-08-16
Last Updated 2025-07-28

Taxonomies

Code: 282N00000X (Primary) License State: ME License: 36382

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 1

cbsaActualGeographicLocation 20

providerType 00

operatingCostToChargeRatio 0.321

medicaidRatio 0.2079

vbpAdjustment 1.0113768437

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 20

providerType 00

operatingCostToChargeRatio 0.321

medicaidRatio 0.2079

vbpAdjustment 1.0113768437

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 20

providerType 00

operatingCostToChargeRatio 0.321

medicaidRatio 0.2079

vbpAdjustment 1.0113768437

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.321

medicaidRatio 0.2079

vbpAdjustment 1.0113768437

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.321

medicaidRatio 0.2079

vbpAdjustment 1.0159480472

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.318

medicaidRatio 0.2058

vbpAdjustment 1.0159480472

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.318

medicaidRatio 0.2058

vbpAdjustment 1.0159480472

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.318

medicaidRatio 0.2058

vbpAdjustment 1.0214420382

hhrAdjustment 0.9992

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.37

medicaidRatio 0.2797

vbpAdjustment 1.0214420382

hhrAdjustment 0.9992

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.37

medicaidRatio 0.2797

vbpAdjustment 1.0214420382

hhrAdjustment 0.9992

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.37

medicaidRatio 0.2797

hhrAdjustment 0.9995

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.333

medicaidRatio 0.2236

hhrAdjustment 0.9995

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.333

medicaidRatio 0.2236

hhrAdjustment 0.9995

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.333

medicaidRatio 0.2236

hhrAdjustment 0.9995

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.333

medicaidRatio 0.2236

hhrAdjustment 0.9995

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.333

medicaidRatio 0.2236

hhrAdjustment 0.9855

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.373

medicaidRatio 0.2161

hhrAdjustment 0.9855

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.373

medicaidRatio 0.2161

hhrAdjustment 0.9855

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.373

medicaidRatio 0.2161

hhrAdjustment 0.9855

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.373

medicaidRatio 0.2161

vbpAdjustment 1.0048061514

hhrAdjustment 0.9852

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.368

medicaidRatio 0.2437

vbpAdjustment 1.0048061514

hhrAdjustment 0.9852

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.368

medicaidRatio 0.2437

vbpAdjustment 1.0110343684

hhrAdjustment 0.9879

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.377

medicaidRatio 0.2208

vbpAdjustment 1.0110343684

hhrAdjustment 0.9879

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.377

medicaidRatio 0.2208

vbpAdjustment 1.0110343684

hhrAdjustment 0.9879

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.377

medicaidRatio 0.2208

vbpAdjustment 1.0072340251

hhrAdjustment 0.9979

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.377

medicaidRatio 0.2208

vbpAdjustment 1.0072340251

hhrAdjustment 0.9979

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.366

medicaidRatio 0.2208

vbpAdjustment 1.0072340251

hhrAdjustment 0.9979

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.39

medicaidRatio 0.2136

vbpAdjustment 1.0072340251

hhrAdjustment 0.9979

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.39

medicaidRatio 0.2136

vbpAdjustment 1.0072340251

hhrAdjustment 0.9979

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.39

medicaidRatio 0.2136

uncompensatedCareAmount 627.07

vbpAdjustment 1.0135342682

hhrAdjustment 0.9944

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.355

medicaidRatio 0.2005

uncompensatedCareAmount 627.07

vbpAdjustment 1.0135342682

hhrAdjustment 0.9944

censusDivision 1

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.355

medicaidRatio 0.2005

uncompensatedCareAmount 627.07

vbpAdjustment 1.0135342682

hhrAdjustment 0.9944

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 20

providerType 00

operatingCostToChargeRatio 0.295

deviceCostToChargeRatio 0.238

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.295

deviceCostToChargeRatio 0.238

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.295

deviceCostToChargeRatio 0.238

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.302

deviceCostToChargeRatio 0.249

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.302

deviceCostToChargeRatio 0.249

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.317

deviceCostToChargeRatio 0.21

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.317

deviceCostToChargeRatio 0.21

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.342

deviceCostToChargeRatio 0.223

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.342

deviceCostToChargeRatio 0.223

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.357

deviceCostToChargeRatio 0.32

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.357

deviceCostToChargeRatio 0.32

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.355

deviceCostToChargeRatio 0.181

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.355

deviceCostToChargeRatio 0.181

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.385

deviceCostToChargeRatio 0.189

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.385

deviceCostToChargeRatio 0.189

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.371

deviceCostToChargeRatio 0.186

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.346

deviceCostToChargeRatio 0.371

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.346

deviceCostToChargeRatio 0.371

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

cbsaActualGeographicLocation 20

providerType 14

operatingCostToChargeRatio 0.447

deviceCostToChargeRatio 0.368

specialPaymentIndicator

costOfLivingAdjustment 0.832

carrierCode 14112

localityCode 99

NORTHERN LIGHT A R GOULD HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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