CCN: 330135 NPI: 1659360709 Organization

BON SECOURS COMMUNITY HOSPITAL

160 E MAIN ST
PORT JERVIS, NY 127712253

Contact Information

Phone 8458587000
Fax 8458587415
Enumeration Date 2005-10-20
Last Updated 2025-03-27

Taxonomies

Code: 282N00000X (Primary) License State: NY

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 2

cbsaActualGeographicLocation 28880

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.146

medicaidRatio 0.2687

uncompensatedCareAmount 732.72

vbpAdjustment 0.9968090234

hhrAdjustment 0.9929

censusDivision 2

cbsaActualGeographicLocation 28880

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.146

medicaidRatio 0.2687

uncompensatedCareAmount 732.72

vbpAdjustment 0.9968090234

hhrAdjustment 0.9929

censusDivision 2

cbsaActualGeographicLocation 28880

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.146

medicaidRatio 0.2687

uncompensatedCareAmount 732.72

vbpAdjustment 0.9968090234

hhrAdjustment 0.9929

censusDivision 2

cbsaActualGeographicLocation 28880

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.161

medicaidRatio 0.3023

uncompensatedCareAmount 732.72

vbpAdjustment 0.9968090234

hhrAdjustment 0.9929

censusDivision 2

cbsaActualGeographicLocation 28880

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.161

medicaidRatio 0.3023

uncompensatedCareAmount 664.91

vbpAdjustment 1.0037167614

hhrAdjustment 0.9954

censusDivision 2

cbsaActualGeographicLocation 28880

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.161

medicaidRatio 0.3023

uncompensatedCareAmount 664.91

vbpAdjustment 1.0037167614

hhrAdjustment 0.9954

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.161

medicaidRatio 0.3023

uncompensatedCareAmount 766.38

vbpAdjustment 0.9894905431

hhrAdjustment 0.9936

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.151

medicaidRatio 0.393

uncompensatedCareAmount 766.38

vbpAdjustment 0.9894905431

hhrAdjustment 0.9936

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.151

medicaidRatio 0.393

uncompensatedCareAmount 766.38

vbpAdjustment 0.9894905431

hhrAdjustment 0.9936

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.151

medicaidRatio 0.393

uncompensatedCareAmount 698.77

hhrAdjustment 0.9984

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.147

medicaidRatio 0.3932

uncompensatedCareAmount 698.77

hhrAdjustment 0.9984

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.147

medicaidRatio 0.3932

uncompensatedCareAmount 698.77

hhrAdjustment 0.9984

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.147

medicaidRatio 0.3932

uncompensatedCareAmount 698.77

hhrAdjustment 0.9984

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.147

medicaidRatio 0.3932

uncompensatedCareAmount 611.4

hhrAdjustment 0.9896

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.178

medicaidRatio 0.4651

uncompensatedCareAmount 611.4

hhrAdjustment 0.9896

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.178

medicaidRatio 0.4651

uncompensatedCareAmount 611.4

hhrAdjustment 0.9896

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.178

medicaidRatio 0.4651

uncompensatedCareAmount 611.4

hhrAdjustment 0.9896

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.158

medicaidRatio 0.4349

uncompensatedCareAmount 611.4

hhrAdjustment 0.9896

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.158

medicaidRatio 0.4349

uncompensatedCareAmount 641.25

vbpAdjustment 0.9987115367

hhrAdjustment 0.9866

censusDivision 2

cbsaActualGeographicLocation 39100

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.152

medicaidRatio 0.3733

uncompensatedCareAmount 641.25

vbpAdjustment 0.9987115367

hhrAdjustment 0.9866

censusDivision 2

cbsaActualGeographicLocation 35614

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.152

medicaidRatio 0.3733

uncompensatedCareAmount 715.16

vbpAdjustment 1.0015555455

hhrAdjustment 0.9938

censusDivision 2

cbsaActualGeographicLocation 35614

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.152

medicaidRatio 0.3733

uncompensatedCareAmount 715.16

vbpAdjustment 1.0015555455

hhrAdjustment 0.9938

censusDivision 2

cbsaActualGeographicLocation 35614

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.152

medicaidRatio 0.3733

uncompensatedCareAmount 996.29

vbpAdjustment 1.0063807397

hhrAdjustment 0.9926

censusDivision 2

cbsaActualGeographicLocation 35614

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.152

medicaidRatio 0.3733

uncompensatedCareAmount 996.29

vbpAdjustment 1.0063807397

hhrAdjustment 0.9926

censusDivision 2

cbsaActualGeographicLocation 35614

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.16

medicaidRatio 0.4088

uncompensatedCareAmount 996.29

vbpAdjustment 1.0063807397

hhrAdjustment 0.9926

censusDivision 2

cbsaActualGeographicLocation 35614

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.16

medicaidRatio 0.4088

uncompensatedCareAmount 996.29

vbpAdjustment 1.0063807397

hhrAdjustment 0.9926

censusDivision 2

cbsaActualGeographicLocation 35614

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.16

medicaidRatio 0.4088

uncompensatedCareAmount 921.57

vbpAdjustment 1.0120406442

hhrAdjustment 0.9947

censusDivision 2

cbsaActualGeographicLocation 35614

providerType 00

caseMixIndex 1.0392

operatingCostToChargeRatio 0.172

medicaidRatio 0.4132

uncompensatedCareAmount 921.57

vbpAdjustment 1.0120406442

hhrAdjustment 0.9947

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 28880

providerType 00

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.397

specialPaymentIndicator Y

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 28880

providerType 00

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.397

specialPaymentIndicator Y

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 28880

providerType 00

operatingCostToChargeRatio 0.125

deviceCostToChargeRatio 0.541

specialPaymentIndicator Y

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 39100

providerType 00

operatingCostToChargeRatio 0.125

deviceCostToChargeRatio 0.541

specialPaymentIndicator Y

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 39100

providerType 00

operatingCostToChargeRatio 0.111

deviceCostToChargeRatio 0.575

specialPaymentIndicator Y

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 39100

providerType 00

operatingCostToChargeRatio 0.111

deviceCostToChargeRatio 0.575

specialPaymentIndicator Y

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 39100

providerType 00

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.627

specialPaymentIndicator Y

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 39100

providerType 00

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.627

specialPaymentIndicator Y

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 39100

providerType 00

operatingCostToChargeRatio 0.125

deviceCostToChargeRatio 0.409

specialPaymentIndicator Y

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 39100

providerType 00

operatingCostToChargeRatio 0.125

deviceCostToChargeRatio 0.409

specialPaymentIndicator

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 39100

providerType 00

operatingCostToChargeRatio 0.082

deviceCostToChargeRatio 0.262

specialPaymentIndicator

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 35614

providerType 00

operatingCostToChargeRatio 0.082

deviceCostToChargeRatio 0.262

specialPaymentIndicator

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 35614

providerType 00

operatingCostToChargeRatio 0.08

deviceCostToChargeRatio 0.269

specialPaymentIndicator

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 35614

providerType 00

operatingCostToChargeRatio 0.08

deviceCostToChargeRatio 0.269

specialPaymentIndicator

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 35614

providerType 00

operatingCostToChargeRatio 0.08

deviceCostToChargeRatio 0.242

specialPaymentIndicator

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 35614

providerType 00

operatingCostToChargeRatio 0.08

deviceCostToChargeRatio 0.242

specialPaymentIndicator

carrierCode 13202

localityCode 03

cbsaActualGeographicLocation 35614

providerType 00

operatingCostToChargeRatio 0.083

deviceCostToChargeRatio 0.269

specialPaymentIndicator

carrierCode 13202

localityCode 03

BON SECOURS COMMUNITY HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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