CCN: 380001 NPI: 1306842752 Organization

ADVENTIST HEALTH COLUMBIA GORGE

1700 E 19TH ST
THE DALLES, OR 970583317

Contact Information

Phone 5412967760
Fax 5412967619
Enumeration Date 2005-06-21
Last Updated 2025-07-22

Taxonomies

Code: 282NR1301X (Primary) License State: OR License: 14-0500

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.512

medicaidRatio 0.2173

uncompensatedCareAmount 870.86

vbpAdjustment 1.0185027203

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.512

medicaidRatio 0.2173

uncompensatedCareAmount 870.86

vbpAdjustment 1.0185027203

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.471

medicaidRatio 0.2133

uncompensatedCareAmount 870.86

vbpAdjustment 1.0185027203

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.471

medicaidRatio 0.2133

uncompensatedCareAmount 591.22

vbpAdjustment 1.0173899467

hhrAdjustment 0.9999

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.471

medicaidRatio 0.2133

uncompensatedCareAmount 591.22

vbpAdjustment 1.0173899467

hhrAdjustment 0.9999

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.51

medicaidRatio 0.1765

uncompensatedCareAmount 591.22

vbpAdjustment 1.0173899467

hhrAdjustment 0.9999

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.51

medicaidRatio 0.1765

uncompensatedCareAmount 518.07

vbpAdjustment 1.0183839743

hhrAdjustment 0.9989

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.51

medicaidRatio 0.1765

uncompensatedCareAmount 518.07

vbpAdjustment 1.0183839743

hhrAdjustment 0.9989

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.406

medicaidRatio 0.1811

uncompensatedCareAmount 518.07

vbpAdjustment 1.0183839743

hhrAdjustment 0.9989

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.406

medicaidRatio 0.1811

uncompensatedCareAmount 490.24

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.406

medicaidRatio 0.1811

uncompensatedCareAmount 490.24

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.406

medicaidRatio 0.1811

uncompensatedCareAmount 490.24

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.406

medicaidRatio 0.1811

uncompensatedCareAmount 490.24

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.418

medicaidRatio 0.1945

uncompensatedCareAmount 490.24

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.418

medicaidRatio 0.1945

uncompensatedCareAmount 548.19

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.418

medicaidRatio 0.1945

uncompensatedCareAmount 548.19

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.418

medicaidRatio 0.1945

uncompensatedCareAmount 548.19

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.386

medicaidRatio 0.2331

uncompensatedCareAmount 548.19

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.386

medicaidRatio 0.2331

uncompensatedCareAmount 1001.92

vbpAdjustment 1.0154984581

hhrAdjustment 0.9966

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.392

medicaidRatio 0.2435

uncompensatedCareAmount 1003.74

vbpAdjustment 1.0154984581

hhrAdjustment 0.9966

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.392

medicaidRatio 0.2435

uncompensatedCareAmount 1078.11

vbpAdjustment 1.0178684828

hhrAdjustment 0.9985

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.392

medicaidRatio 0.2435

uncompensatedCareAmount 1078.11

vbpAdjustment 1.0178684828

hhrAdjustment 0.9985

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.392

medicaidRatio 0.2435

uncompensatedCareAmount 963.88

vbpAdjustment 1.0113582377

hhrAdjustment 0.9995

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.392

medicaidRatio 0.2435

uncompensatedCareAmount 963.88

vbpAdjustment 1.0113582377

hhrAdjustment 0.9995

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.393

medicaidRatio 0.2436

uncompensatedCareAmount 963.88

vbpAdjustment 1.0113582377

hhrAdjustment 0.9995

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.393

medicaidRatio 0.2436

uncompensatedCareAmount 963.88

vbpAdjustment 1.0113582377

hhrAdjustment 0.9995

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.393

medicaidRatio 0.2436

uncompensatedCareAmount 498.47

vbpAdjustment 1.0074634093

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.413

medicaidRatio 0.2516

uncompensatedCareAmount 498.47

vbpAdjustment 1.0074634093

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38

providerType 17

caseMixIndex 1.2457

operatingCostToChargeRatio 0.413

medicaidRatio 0.2516

uncompensatedCareAmount 498.47

vbpAdjustment 1.0074634093

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.289

deviceCostToChargeRatio 0.507

specialPaymentIndicator

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.289

deviceCostToChargeRatio 0.507

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.285

deviceCostToChargeRatio 0.621

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.285

deviceCostToChargeRatio 0.621

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.273

deviceCostToChargeRatio 0.686

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.273

deviceCostToChargeRatio 0.686

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.264

deviceCostToChargeRatio 0.657

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.264

deviceCostToChargeRatio 0.657

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.257

deviceCostToChargeRatio 0.569

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.257

deviceCostToChargeRatio 0.569

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 0.495

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 0.495

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.261

deviceCostToChargeRatio 0.497

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.261

deviceCostToChargeRatio 0.497

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.275

deviceCostToChargeRatio 0.569

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.275

deviceCostToChargeRatio 0.569

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 38

providerType 17

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.537

specialPaymentIndicator Y

costOfLivingAdjustment 0.856

carrierCode 02302

localityCode 99

ADVENTIST HEALTH COLUMBIA GORGE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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