CCN: 280009 NPI: 1336184019 Organization

CHI HEALTH GOOD SAMARITAN

10 E 31ST ST , BOX 1990
KEARNEY, NE 688472926

Contact Information

Phone 3088657100
Fax 3088652913
Enumeration Date 2006-06-18
Last Updated 2022-02-10

Taxonomies

Code: 261QA1903X License State: NE License: 070001
Code: 273R00000X License State: NE License: 070001
Code: 3416A0800X License State: NE License: 070001
Code: 3416L0300X License State: NE License: 070001
Code: 282N00000X (Primary) License State: NE License: 070001

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.271

medicaidRatio 0.2189

uncompensatedCareAmount 878.81

internsToBedsRatio 0.0313

vbpAdjustment 1.0041360336

hhrAdjustment 0.9959

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.271

medicaidRatio 0.2189

uncompensatedCareAmount 878.81

internsToBedsRatio 0.0313

vbpAdjustment 1.0041360336

hhrAdjustment 0.9959

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.246

medicaidRatio 0.2219

uncompensatedCareAmount 878.81

internsToBedsRatio 0.0165

vbpAdjustment 1.0041360336

hhrAdjustment 0.9959

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.246

medicaidRatio 0.2219

uncompensatedCareAmount 857.43

internsToBedsRatio 0.0165

vbpAdjustment 1.0059541917

hhrAdjustment 0.9988

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.246

medicaidRatio 0.2219

uncompensatedCareAmount 857.43

internsToBedsRatio 0.0165

vbpAdjustment 1.0059541917

hhrAdjustment 0.9988

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.266

medicaidRatio 0.268

uncompensatedCareAmount 857.43

internsToBedsRatio 0.0164

vbpAdjustment 1.0059541917

hhrAdjustment 0.9988

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.266

medicaidRatio 0.268

uncompensatedCareAmount 987.17

internsToBedsRatio 0.0164

vbpAdjustment 0.9958966597

hhrAdjustment 0.9998

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.266

medicaidRatio 0.268

uncompensatedCareAmount 987.17

internsToBedsRatio 0.0164

vbpAdjustment 0.9958966597

hhrAdjustment 0.9998

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.283

medicaidRatio 0.2488

uncompensatedCareAmount 987.17

internsToBedsRatio 0.0184

vbpAdjustment 0.9958966597

hhrAdjustment 0.9998

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.283

medicaidRatio 0.2464

uncompensatedCareAmount 987.17

internsToBedsRatio 0.0184

vbpAdjustment 0.9958966597

hhrAdjustment 0.9998

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.283

medicaidRatio 0.2464

uncompensatedCareAmount 908.52

internsToBedsRatio 0.0184

hhrAdjustment 0.9998

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.291

medicaidRatio 0.2237

uncompensatedCareAmount 908.52

internsToBedsRatio 0.0142

hhrAdjustment 0.9998

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.291

medicaidRatio 0.2237

uncompensatedCareAmount 908.52

internsToBedsRatio 0.0142

hhrAdjustment 0.9998

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.291

medicaidRatio 0.2231

uncompensatedCareAmount 908.52

internsToBedsRatio 0.0142

hhrAdjustment 0.9998

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.291

medicaidRatio 0.2231

uncompensatedCareAmount 758.19

internsToBedsRatio 0.0142

hhrAdjustment 0.9955

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.304

medicaidRatio 0.1817

uncompensatedCareAmount 758.19

internsToBedsRatio 0.0128

hhrAdjustment 0.9955

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.304

medicaidRatio 0.1817

uncompensatedCareAmount 758.19

internsToBedsRatio 0.0128

hhrAdjustment 0.9955

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.304

medicaidRatio 0.1801

uncompensatedCareAmount 758.19

internsToBedsRatio 0.0128

hhrAdjustment 0.9955

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.304

medicaidRatio 0.1801

uncompensatedCareAmount 758.19

internsToBedsRatio 0.0128

hhrAdjustment 0.9955

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.304

medicaidRatio 0.1801

uncompensatedCareAmount 869.55

internsToBedsRatio 0.0128

vbpAdjustment 1.003255767

hhrAdjustment 0.9963

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.281

medicaidRatio 0.1744

uncompensatedCareAmount 869.55

internsToBedsRatio 0.0114

vbpAdjustment 1.003255767

hhrAdjustment 0.9963

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.281

medicaidRatio 0.1689

uncompensatedCareAmount 869.55

internsToBedsRatio 0.0114

vbpAdjustment 1.003255767

hhrAdjustment 0.9963

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.281

medicaidRatio 0.1689

uncompensatedCareAmount 1179.12

internsToBedsRatio 0.0114

vbpAdjustment 1.002468321

hhrAdjustment 0.9977

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.281

medicaidRatio 0.1689

uncompensatedCareAmount 1179.12

internsToBedsRatio 0.0114

vbpAdjustment 1.002468321

hhrAdjustment 0.9977

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.296

medicaidRatio 0.1627

uncompensatedCareAmount 1179.12

internsToBedsRatio 0.0107

vbpAdjustment 1.002468321

hhrAdjustment 0.9977

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.296

medicaidRatio 0.1605

uncompensatedCareAmount 1179.12

internsToBedsRatio 0.0107

vbpAdjustment 1.002468321

hhrAdjustment 0.9977

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.296

medicaidRatio 0.1605

uncompensatedCareAmount 949.29

internsToBedsRatio 0.0107

vbpAdjustment 0.9985826594

hhrAdjustment 0.9994

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.296

medicaidRatio 0.1605

uncompensatedCareAmount 949.29

internsToBedsRatio 0.0107

vbpAdjustment 0.9985826594

hhrAdjustment 0.9994

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.296

medicaidRatio 0.1605

uncompensatedCareAmount 949.29

internsToBedsRatio 0.0107

vbpAdjustment 0.9985826594

hhrAdjustment 0.9994

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.334

medicaidRatio 0.1653

uncompensatedCareAmount 949.29

internsToBedsRatio 0.012

vbpAdjustment 0.9985826594

hhrAdjustment 0.9994

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.334

medicaidRatio 0.1653

uncompensatedCareAmount 527.68

internsToBedsRatio 0.012

vbpAdjustment 0.9994859428

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 28

providerType 07

caseMixIndex 0.7116

operatingCostToChargeRatio 0.334

medicaidRatio 0.1653

uncompensatedCareAmount 527.68

internsToBedsRatio 0.012

vbpAdjustment 0.9994859428

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.19

deviceCostToChargeRatio 0.496

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.184

deviceCostToChargeRatio 0.492

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.184

deviceCostToChargeRatio 0.492

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.223

deviceCostToChargeRatio 0.478

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.223

deviceCostToChargeRatio 0.478

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.496

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.496

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.573

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.573

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.253

deviceCostToChargeRatio 0.632

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.253

deviceCostToChargeRatio 0.632

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.569

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.569

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.237

deviceCostToChargeRatio 0.626

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.237

deviceCostToChargeRatio 0.626

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.301

deviceCostToChargeRatio 0.635

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.301

deviceCostToChargeRatio 0.635

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 28

providerType 07

operatingCostToChargeRatio 0.316

deviceCostToChargeRatio 0.628

specialPaymentIndicator Y

costOfLivingAdjustment 0.825

carrierCode 05402

localityCode 00

CHI HEALTH GOOD SAMARITAN

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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