CCN: 330286 NPI: 1902865355 Organization

GOOD SAMARITAN HOSPITAL MEDICAL CENTER

1000 MONTAUK HWY
WEST ISLIP, NY 117954927

Contact Information

Phone 6313763000
Enumeration Date 2006-03-22
Last Updated 2025-03-06

Taxonomies

Code: 261QH0700X
Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 07

caseMixIndex 1.1182

operatingCostToChargeRatio 0.182

medicaidRatio 0.2327

uncompensatedCareAmount 571.44

internsToBedsRatio 0.0873

vbpAdjustment 0.9981020252

hhrAdjustment 0.9992

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 07

caseMixIndex 1.1182

operatingCostToChargeRatio 0.182

medicaidRatio 0.2327

uncompensatedCareAmount 571.44

internsToBedsRatio 0.0873

vbpAdjustment 0.9981020252

hhrAdjustment 0.9992

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 07

caseMixIndex 1.1182

operatingCostToChargeRatio 0.182

medicaidRatio 0.2327

uncompensatedCareAmount 571.44

internsToBedsRatio 0.0873

vbpAdjustment 0.9981020252

hhrAdjustment 0.9992

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 07

caseMixIndex 1.1182

operatingCostToChargeRatio 0.182

medicaidRatio 0.2235

uncompensatedCareAmount 571.44

internsToBedsRatio 0.0822

vbpAdjustment 0.9981020252

hhrAdjustment 0.9992

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 07

caseMixIndex 1.1182

operatingCostToChargeRatio 0.182

medicaidRatio 0.2235

uncompensatedCareAmount 431.78

internsToBedsRatio 0.0822

vbpAdjustment 0.994170392

hhrAdjustment 0.9989

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 07

caseMixIndex 1.1182

operatingCostToChargeRatio 0.182

medicaidRatio 0.2239

uncompensatedCareAmount 431.78

internsToBedsRatio 0.0812

vbpAdjustment 0.994170392

hhrAdjustment 0.9989

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 07

caseMixIndex 1.1182

operatingCostToChargeRatio 0.182

medicaidRatio 0.2239

uncompensatedCareAmount 431.78

internsToBedsRatio 0.0812

vbpAdjustment 0.994170392

hhrAdjustment 0.9989

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.182

medicaidRatio 0.2239

uncompensatedCareAmount 431.78

internsToBedsRatio 0.0812

vbpAdjustment 0.994170392

hhrAdjustment 0.9989

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.182

medicaidRatio 0.2239

uncompensatedCareAmount 431.78

internsToBedsRatio 0.0812

vbpAdjustment 0.994170392

hhrAdjustment 0.9989

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.182

medicaidRatio 0.2239

uncompensatedCareAmount 448.29

internsToBedsRatio 0.0812

vbpAdjustment 0.9920213546

hhrAdjustment 0.996

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.186

medicaidRatio 0.2164

uncompensatedCareAmount 448.29

internsToBedsRatio 0.0812

vbpAdjustment 0.9920213546

hhrAdjustment 0.996

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.186

medicaidRatio 0.2164

uncompensatedCareAmount 448.29

internsToBedsRatio 0.0812

vbpAdjustment 0.9920213546

hhrAdjustment 0.996

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.186

medicaidRatio 0.2164

uncompensatedCareAmount 425.84

internsToBedsRatio 0.0812

hhrAdjustment 0.9883

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.181

medicaidRatio 0.2257

uncompensatedCareAmount 425.84

internsToBedsRatio 0.0791

hhrAdjustment 0.9883

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.181

medicaidRatio 0.2257

uncompensatedCareAmount 425.84

internsToBedsRatio 0.0791

hhrAdjustment 0.9883

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.181

medicaidRatio 0.2257

uncompensatedCareAmount 425.84

internsToBedsRatio 0.0791

hhrAdjustment 0.9883

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.181

medicaidRatio 0.2257

uncompensatedCareAmount 469.36

internsToBedsRatio 0.0791

hhrAdjustment 0.977

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.203

medicaidRatio 0.2275

uncompensatedCareAmount 469.36

internsToBedsRatio 0.0769

hhrAdjustment 0.977

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.203

medicaidRatio 0.2275

uncompensatedCareAmount 469.36

internsToBedsRatio 0.0769

hhrAdjustment 0.977

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.203

medicaidRatio 0.2277

uncompensatedCareAmount 469.36

internsToBedsRatio 0.0769

hhrAdjustment 0.977

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.187

medicaidRatio 0.2277

uncompensatedCareAmount 469.36

internsToBedsRatio 0.0769

hhrAdjustment 0.977

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.187

medicaidRatio 0.2277

uncompensatedCareAmount 520.35

internsToBedsRatio 0.0769

vbpAdjustment 0.9902646144

hhrAdjustment 0.9793

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.188

medicaidRatio 0.2215

uncompensatedCareAmount 520.35

internsToBedsRatio 0.0838

vbpAdjustment 0.9902646144

hhrAdjustment 0.9793

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.188

medicaidRatio 0.2215

uncompensatedCareAmount 773.93

internsToBedsRatio 0.0838

vbpAdjustment 0.9962427238

hhrAdjustment 0.977

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.188

medicaidRatio 0.2215

uncompensatedCareAmount 773.93

internsToBedsRatio 0.0838

vbpAdjustment 0.9962427238

hhrAdjustment 0.977

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.188

medicaidRatio 0.2215

uncompensatedCareAmount 616.34

internsToBedsRatio 0.0838

vbpAdjustment 0.9947191728

hhrAdjustment 0.9777

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.188

medicaidRatio 0.2215

uncompensatedCareAmount 616.34

internsToBedsRatio 0.0838

vbpAdjustment 0.9947191728

hhrAdjustment 0.9777

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.179

medicaidRatio 0.2138

uncompensatedCareAmount 616.34

internsToBedsRatio 0.095

vbpAdjustment 0.9947191728

hhrAdjustment 0.9777

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.179

medicaidRatio 0.2138

uncompensatedCareAmount 616.34

internsToBedsRatio 0.095

vbpAdjustment 0.9947191728

hhrAdjustment 0.9777

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.179

medicaidRatio 0.2138

uncompensatedCareAmount 568.88

internsToBedsRatio 0.095

vbpAdjustment 0.9940827407

hhrAdjustment 0.9779

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.171

medicaidRatio 0.2133

uncompensatedCareAmount 568.88

internsToBedsRatio 0.0995

vbpAdjustment 0.9940827407

hhrAdjustment 0.9779

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.171

medicaidRatio 0.2133

uncompensatedCareAmount 568.88

internsToBedsRatio 0.0995

vbpAdjustment 0.9940827407

hhrAdjustment 0.9779

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.171

medicaidRatio 0.2133

uncompensatedCareAmount 664.36

internsToBedsRatio 0.0995

vbpAdjustment 0.995408652

hhrAdjustment 0.9824

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.187

medicaidRatio 0.2226

uncompensatedCareAmount 664.36

internsToBedsRatio 0.0995

vbpAdjustment 0.995408652

hhrAdjustment 0.9824

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.187

medicaidRatio 0.2226

uncompensatedCareAmount 664.36

internsToBedsRatio 0.0995

vbpAdjustment 0.995408652

hhrAdjustment 0.9824

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.187

medicaidRatio 0.2226

uncompensatedCareAmount 712.88

internsToBedsRatio 0.0995

vbpAdjustment 0.9971629098

hhrAdjustment 0.9894

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.187

medicaidRatio 0.1901

uncompensatedCareAmount 712.88

internsToBedsRatio 0.0927

vbpAdjustment 0.9971629098

hhrAdjustment 0.9894

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.187

medicaidRatio 0.1901

uncompensatedCareAmount 712.88

internsToBedsRatio 0.0927

vbpAdjustment 0.9971629098

hhrAdjustment 0.9894

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.187

medicaidRatio 0.1901

uncompensatedCareAmount 792.97

internsToBedsRatio 0.0927

vbpAdjustment 0.9978489223

hhrAdjustment 0.9917

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.193

medicaidRatio 0.1897

uncompensatedCareAmount 792.97

internsToBedsRatio 0.1049

vbpAdjustment 0.9978489223

hhrAdjustment 0.9917

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.193

medicaidRatio 0.1897

uncompensatedCareAmount 792.97

internsToBedsRatio 0.1049

vbpAdjustment 0.9978489223

hhrAdjustment 0.9917

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.193

medicaidRatio 0.1897

internsToBedsRatio 0.1049

vbpAdjustment 0.9984621106

hhrAdjustment 0.9966

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.206

medicaidRatio 0.1792

internsToBedsRatio 0.1026

vbpAdjustment 0.9984621106

hhrAdjustment 0.9966

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.206

medicaidRatio 0.1792

internsToBedsRatio 0.1026

vbpAdjustment 0.9984621106

hhrAdjustment 0.9966

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.206

medicaidRatio 0.1792

internsToBedsRatio 0.1026

vbpAdjustment 1.0026042684

hhrAdjustment 0.9966

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.207

medicaidRatio 0.1678

internsToBedsRatio 0.0984

vbpAdjustment 1.0026042684

hhrAdjustment 0.9966

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.207

medicaidRatio 0.1678

internsToBedsRatio 0.0984

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.216

medicaidRatio 0.1478

internsToBedsRatio 0.1003

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.216

medicaidRatio 0.1478

internsToBedsRatio 0.1003

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.216

medicaidRatio 0.1478

internsToBedsRatio 0.0984

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.216

medicaidRatio 0.1478

internsToBedsRatio 0.0984

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.217

medicaidRatio 0.1478

internsToBedsRatio 0.0984

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.224

medicaidRatio 0.1553

internsToBedsRatio 0.0988

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.224

medicaidRatio 0.1448

internsToBedsRatio 0.0984

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.218

medicaidRatio 0.1133

internsToBedsRatio 0.0988

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.217

medicaidRatio 0.1115

internsToBedsRatio 0.0984

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.217

medicaidRatio 0.1115

internsToBedsRatio 0.0984

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.217

medicaidRatio 0.1115

internsToBedsRatio 0.0984

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.222

medicaidRatio 0.1192

internsToBedsRatio 0.0881

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.222

medicaidRatio 0.1192

internsToBedsRatio 0.1054

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.222

medicaidRatio 0.1192

internsToBedsRatio 0.1054

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.222

medicaidRatio 0.1192

internsToBedsRatio 0.1054

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.222

medicaidRatio 0.1192

internsToBedsRatio 0.1054

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.231

medicaidRatio 0.1182

internsToBedsRatio 0.103

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.231

medicaidRatio 0.1182

internsToBedsRatio 0.103

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.231

medicaidRatio 0.1182

internsToBedsRatio 0.103

censusDivision 2

cbsaActualGeographicLocation 35004

providerType 00

caseMixIndex 1.1182

operatingCostToChargeRatio 0.231

medicaidRatio 0.1182

internsToBedsRatio 0.103

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 35004

providerType 07

operatingCostToChargeRatio 0.146

deviceCostToChargeRatio 0.169

specialPaymentIndicator D

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 07

operatingCostToChargeRatio 0.146

deviceCostToChargeRatio 0.169

specialPaymentIndicator Y

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 07

operatingCostToChargeRatio 0.147

deviceCostToChargeRatio 0.165

specialPaymentIndicator Y

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.147

deviceCostToChargeRatio 0.165

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.159

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.159

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.152

deviceCostToChargeRatio 0.171

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.152

deviceCostToChargeRatio 0.171

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.176

deviceCostToChargeRatio 0.154

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.176

deviceCostToChargeRatio 0.154

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.155

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.155

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.161

deviceCostToChargeRatio 0.153

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.161

deviceCostToChargeRatio 0.153

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.159

deviceCostToChargeRatio 0.157

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.159

deviceCostToChargeRatio 0.157

specialPaymentIndicator

carrierCode 13202

localityCode 02

cbsaActualGeographicLocation 35004

providerType 00

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.124

specialPaymentIndicator

carrierCode 13202

localityCode 02

GOOD SAMARITAN HOSPITAL MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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