CCN: 240101 NPI: 1679561088 Organization

ESSENTIA HEALTH ST MARYS - DETROIT LAKES

1027 WASHINGTON AVE
DETROIT LAKES, MN 56501

Contact Information

Phone 2188475611
Fax 2188470881
Enumeration Date 2005-10-10
Last Updated 2024-03-01

Taxonomies

Code: 332B00000X
Code: 282NR1301X (Primary) License State: MN License: 327830

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.438

medicaidRatio 0.274

uncompensatedCareAmount 726.15

vbpAdjustment 1.0117791109

hhrAdjustment 0.9999

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.438

medicaidRatio 0.274

uncompensatedCareAmount 726.15

vbpAdjustment 1.0117791109

hhrAdjustment 0.9999

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.438

medicaidRatio 0.274

uncompensatedCareAmount 726.15

vbpAdjustment 1.0117791109

hhrAdjustment 0.9999

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.426

medicaidRatio 0.2514

uncompensatedCareAmount 726.15

vbpAdjustment 1.0117791109

hhrAdjustment 0.9999

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.426

medicaidRatio 0.2514

uncompensatedCareAmount 612.77

vbpAdjustment 1.0208703939

hhrAdjustment 0.9993

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.426

medicaidRatio 0.2514

uncompensatedCareAmount 612.77

vbpAdjustment 1.0208703939

hhrAdjustment 0.9993

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.472

medicaidRatio 0.2552

uncompensatedCareAmount 612.77

vbpAdjustment 1.0208703939

hhrAdjustment 0.9993

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.472

medicaidRatio 0.2552

uncompensatedCareAmount 758.02

vbpAdjustment 1.0236564983

hhrAdjustment 0.9995

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.472

medicaidRatio 0.2552

uncompensatedCareAmount 758.02

vbpAdjustment 1.0236564983

hhrAdjustment 0.9995

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.499

medicaidRatio 0.2695

uncompensatedCareAmount 758.02

vbpAdjustment 1.0236564983

hhrAdjustment 0.9995

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.499

medicaidRatio 0.2695

uncompensatedCareAmount 717.84

hhrAdjustment 0.9982

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.499

medicaidRatio 0.2695

uncompensatedCareAmount 717.84

hhrAdjustment 0.9982

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.499

medicaidRatio 0.2695

uncompensatedCareAmount 717.84

hhrAdjustment 0.9982

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.437

medicaidRatio 0.2598

uncompensatedCareAmount 717.84

hhrAdjustment 0.9982

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.437

medicaidRatio 0.2598

uncompensatedCareAmount 717.84

hhrAdjustment 0.9982

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.437

medicaidRatio 0.2598

uncompensatedCareAmount 672.99

hhrAdjustment 0.9967

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.437

medicaidRatio 0.2598

uncompensatedCareAmount 672.99

hhrAdjustment 0.9967

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.437

medicaidRatio 0.2598

uncompensatedCareAmount 672.99

hhrAdjustment 0.9967

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.49

medicaidRatio 0.3064

uncompensatedCareAmount 672.99

hhrAdjustment 0.9967

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.49

medicaidRatio 0.3064

uncompensatedCareAmount 814.94

vbpAdjustment 1.0260838417

hhrAdjustment 0.9982

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.453

medicaidRatio 0.2741

uncompensatedCareAmount 814.94

vbpAdjustment 1.0260838417

hhrAdjustment 0.9982

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.453

medicaidRatio 0.2741

uncompensatedCareAmount 677.49

vbpAdjustment 1.0254047321

hhrAdjustment 0.9978

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.453

medicaidRatio 0.2741

uncompensatedCareAmount 677.49

vbpAdjustment 1.0254047321

hhrAdjustment 0.9978

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.455

medicaidRatio 0.2714

uncompensatedCareAmount 677.49

vbpAdjustment 1.0254047321

hhrAdjustment 0.9978

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.455

medicaidRatio 0.2714

uncompensatedCareAmount 910.16

vbpAdjustment 1.0129937014

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.455

medicaidRatio 0.2714

uncompensatedCareAmount 910.16

vbpAdjustment 1.0129937014

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.455

medicaidRatio 0.2714

uncompensatedCareAmount 910.16

vbpAdjustment 1.0129937014

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.418

medicaidRatio 0.2917

uncompensatedCareAmount 910.16

vbpAdjustment 1.0129937014

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.418

medicaidRatio 0.2917

uncompensatedCareAmount 792.62

vbpAdjustment 1.0170515118

hhrAdjustment 0.9998

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.418

medicaidRatio 0.2917

uncompensatedCareAmount 792.62

vbpAdjustment 1.0170515118

hhrAdjustment 0.9998

censusDivision 6

cbsaActualGeographicLocation 24

providerType 16

caseMixIndex 1.0012

operatingCostToChargeRatio 0.448

medicaidRatio 0.3253

uncompensatedCareAmount 792.62

vbpAdjustment 1.0170515118

hhrAdjustment 0.9998

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.327

deviceCostToChargeRatio 0.635

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.329

deviceCostToChargeRatio 0.472

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.329

deviceCostToChargeRatio 0.472

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.361

deviceCostToChargeRatio 0.472

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.361

deviceCostToChargeRatio 0.472

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.369

deviceCostToChargeRatio 0.473

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.369

deviceCostToChargeRatio 0.473

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.365

deviceCostToChargeRatio 0.521

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.365

deviceCostToChargeRatio 0.521

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.365

deviceCostToChargeRatio 0.521

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.385

deviceCostToChargeRatio 0.406

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.362

deviceCostToChargeRatio 0.357

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.362

deviceCostToChargeRatio 0.357

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.344

deviceCostToChargeRatio 0.373

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.344

deviceCostToChargeRatio 0.373

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.341

deviceCostToChargeRatio 0.252

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.341

deviceCostToChargeRatio 0.252

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 16

operatingCostToChargeRatio 0.306

deviceCostToChargeRatio 0.596

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 06202

localityCode 00

ESSENTIA HEALTH ST MARYS - DETROIT LAKES

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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