CCN: 350063 NPI: 1952346934 Organization

P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK

1300 HOSPITAL LOOP
BELCOURT, ND 583160160

Contact Information

Phone 7014776111
Fax 7014772500
Enumeration Date 2006-06-16
Last Updated 2015-10-13

Taxonomies

Code: 282NR1301X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.324

medicaidRatio 0.1259

uncompensatedCareAmount 1632.46

hhrAdjustment 0.9973

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.324

medicaidRatio 0.1259

uncompensatedCareAmount 1632.46

hhrAdjustment 0.9973

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.324

medicaidRatio 0.1259

uncompensatedCareAmount 1632.46

hhrAdjustment 0.9973

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.356

medicaidRatio 0.1259

uncompensatedCareAmount 1214.34

hhrAdjustment 0.9983

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.356

medicaidRatio 0.1259

uncompensatedCareAmount 1214.34

hhrAdjustment 0.9983

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.356

medicaidRatio 0.2644

uncompensatedCareAmount 1214.34

hhrAdjustment 0.9983

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.356

medicaidRatio 0.2644

uncompensatedCareAmount 1214.34

hhrAdjustment 0.9983

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.356

medicaidRatio 0.2644

uncompensatedCareAmount 1214.34

hhrAdjustment 0.9983

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.326

medicaidRatio 0.2644

uncompensatedCareAmount 1126.43

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.326

medicaidRatio 0.0671

uncompensatedCareAmount 1126.43

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.326

medicaidRatio 0.0671

uncompensatedCareAmount 1126.43

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.319

medicaidRatio 0.0671

uncompensatedCareAmount 1224.52

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.319

medicaidRatio 0.0671

uncompensatedCareAmount 1224.52

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.319

medicaidRatio 0.2005

uncompensatedCareAmount 1224.52

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.319

medicaidRatio 0.2005

uncompensatedCareAmount 1224.52

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.319

medicaidRatio 0.2005

uncompensatedCareAmount 1224.52

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.319

medicaidRatio 0.2005

uncompensatedCareAmount 1224.52

hhrAdjustment 0.9991

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.357

medicaidRatio 0.2005

uncompensatedCareAmount 1212.87

hhrAdjustment 0.9953

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.357

medicaidRatio 0.4835

uncompensatedCareAmount 1212.87

hhrAdjustment 0.9953

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.357

medicaidRatio 0.4835

uncompensatedCareAmount 1212.87

hhrAdjustment 0.9953

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.357

medicaidRatio 0.4835

uncompensatedCareAmount 1212.87

hhrAdjustment 0.9953

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.287

medicaidRatio 0.4835

uncompensatedCareAmount 1438.88

hhrAdjustment 0.9927

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.287

medicaidRatio 0.4835

uncompensatedCareAmount 1438.88

hhrAdjustment 0.9927

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.287

medicaidRatio 0.2833

uncompensatedCareAmount 1438.88

hhrAdjustment 0.9927

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.292

medicaidRatio 0.2833

uncompensatedCareAmount 1502.24

hhrAdjustment 0.9938

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.292

medicaidRatio 0.2833

uncompensatedCareAmount 1502.24

hhrAdjustment 0.9938

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.292

medicaidRatio 0.2698

uncompensatedCareAmount 1502.24

hhrAdjustment 0.9938

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.292

medicaidRatio 0.2698

uncompensatedCareAmount 1502.24

hhrAdjustment 0.9938

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.311

medicaidRatio 0.2698

uncompensatedCareAmount 1726.07

hhrAdjustment 0.9953

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.311

medicaidRatio 0.2698

uncompensatedCareAmount 1726.07

hhrAdjustment 0.9953

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.311

medicaidRatio 0.2756

uncompensatedCareAmount 1726.07

hhrAdjustment 0.9953

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.311

medicaidRatio 0.2756

uncompensatedCareAmount 1726.07

hhrAdjustment 0.9953

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.349

medicaidRatio 0.2756

uncompensatedCareAmount 1401.05

hhrAdjustment 0.9997

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.349

medicaidRatio 0.2756

uncompensatedCareAmount 1401.05

hhrAdjustment 0.9997

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.349

medicaidRatio 0.4805

uncompensatedCareAmount 1401.05

hhrAdjustment 0.9997

censusDivision 6

cbsaActualGeographicLocation 35

providerType 08

caseMixIndex 0.8494

operatingCostToChargeRatio 0.349

medicaidRatio 0.4805

uncompensatedCareAmount 1401.05

hhrAdjustment 0.9997

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 99

providerType 08

operatingCostToChargeRatio 0.216

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType 08

operatingCostToChargeRatio 0.221

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType 08

operatingCostToChargeRatio 0.261

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType 00

operatingCostToChargeRatio 0.261

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.261

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.246

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.246

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.246

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.246

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.246

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.246

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.271

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.271

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.326

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.326

specialPaymentIndicator

carrierCode 03302

localityCode 01

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.366

specialPaymentIndicator

carrierCode 03302

localityCode 01

P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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