CCN: 320061 NPI: 1225002322 Organization

GALLUP INDIAN MEDICAL CENTER

516 E. NIZHONI BLVD.
GALLUP, NM 873011337

Contact Information

Phone 5057221000
Fax 5057221310
Enumeration Date 2006-02-15
Last Updated 2025-02-12

Taxonomies

Code: 311Z00000X
Code: 282N00000X (Primary) License: 9435

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.232

medicaidRatio 0.4829

uncompensatedCareAmount 2853.33

vbpAdjustment 1.0098827083

hhrAdjustment 0.9994

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.232

medicaidRatio 0.4829

uncompensatedCareAmount 2853.33

vbpAdjustment 1.0098827083

hhrAdjustment 0.9994

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.232

medicaidRatio 0.4829

uncompensatedCareAmount 2853.33

vbpAdjustment 1.0098827083

hhrAdjustment 0.9994

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.276

medicaidRatio 0.4829

uncompensatedCareAmount 2144.22

vbpAdjustment 1.0196025167

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.276

medicaidRatio 0.4829

uncompensatedCareAmount 2144.22

vbpAdjustment 1.0196025167

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.276

medicaidRatio 0.233

uncompensatedCareAmount 2144.22

vbpAdjustment 1.0196025167

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.276

medicaidRatio 0.233

uncompensatedCareAmount 2144.22

vbpAdjustment 1.0196025167

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.276

medicaidRatio 0.233

uncompensatedCareAmount 2144.22

vbpAdjustment 1.0196025167

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.251

medicaidRatio 0.233

uncompensatedCareAmount 2119.89

vbpAdjustment 1.0141659552

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.251

medicaidRatio 0.5582

uncompensatedCareAmount 2119.89

vbpAdjustment 1.0141659552

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.251

medicaidRatio 0.5582

uncompensatedCareAmount 2119.89

vbpAdjustment 1.0141659552

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.257

medicaidRatio 0.5582

uncompensatedCareAmount 1941.61

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.257

medicaidRatio 0.5582

uncompensatedCareAmount 1941.61

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.257

medicaidRatio 0.3782

uncompensatedCareAmount 1941.61

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.257

medicaidRatio 0.3782

uncompensatedCareAmount 1941.61

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.257

medicaidRatio 0.3782

uncompensatedCareAmount 1941.61

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.218

medicaidRatio 0.3782

uncompensatedCareAmount 1879.7

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.218

medicaidRatio 0.3782

uncompensatedCareAmount 1879.7

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.218

medicaidRatio 0.5232

uncompensatedCareAmount 1879.7

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.218

medicaidRatio 0.5232

uncompensatedCareAmount 1879.7

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.218

medicaidRatio 0.5232

uncompensatedCareAmount 1879.7

hhrAdjustment 0.9997

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.233

medicaidRatio 0.5276

uncompensatedCareAmount 2037.27

vbpAdjustment 1.02811538

hhrAdjustment 0.9949

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.233

medicaidRatio 0.5276

uncompensatedCareAmount 2037.27

vbpAdjustment 1.02811538

hhrAdjustment 0.9949

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.232

medicaidRatio 0.5276

uncompensatedCareAmount 1983.33

vbpAdjustment 1.0173535837

hhrAdjustment 0.9892

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.232

medicaidRatio 0.4821

uncompensatedCareAmount 1983.33

vbpAdjustment 1.0173535837

hhrAdjustment 0.9892

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.232

medicaidRatio 0.4821

uncompensatedCareAmount 1983.33

vbpAdjustment 1.0173535837

hhrAdjustment 0.9892

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.24

medicaidRatio 0.4821

uncompensatedCareAmount 1887.84

hhrAdjustment 0.9895

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.24

medicaidRatio 0.4821

uncompensatedCareAmount 1887.84

hhrAdjustment 0.9895

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.24

medicaidRatio 0.4535

uncompensatedCareAmount 1887.84

hhrAdjustment 0.9895

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.24

medicaidRatio 0.4535

uncompensatedCareAmount 1887.84

hhrAdjustment 0.9895

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.271

medicaidRatio 0.4535

uncompensatedCareAmount 1450.27

vbpAdjustment 1.0174851446

hhrAdjustment 0.9896

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.271

medicaidRatio 0.4535

uncompensatedCareAmount 1450.27

vbpAdjustment 1.0174851446

hhrAdjustment 0.9896

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.271

medicaidRatio 0.4872

uncompensatedCareAmount 1450.27

vbpAdjustment 1.0174851446

hhrAdjustment 0.9896

censusDivision 8

cbsaActualGeographicLocation 32

providerType 08

caseMixIndex 1.05

operatingCostToChargeRatio 0.271

medicaidRatio 0.4872

uncompensatedCareAmount 1450.27

vbpAdjustment 1.0174851446

hhrAdjustment 0.9896

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 99

providerType 08

operatingCostToChargeRatio 0.165

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType 08

operatingCostToChargeRatio 0.175

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType 08

operatingCostToChargeRatio 0.182

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType 00

operatingCostToChargeRatio 0.182

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.182

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.163

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.163

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.163

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.172

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.172

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.172

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.165

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.205

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.205

specialPaymentIndicator

carrierCode 04212

localityCode 05

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.224

specialPaymentIndicator

carrierCode 04212

localityCode 05

GALLUP INDIAN MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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