CCN: 380004 NPI: 1114015971 Organization

PROVIDENCE ST VINCENT MEDICAL CENTER

9205 SW BARNES RD
PORTLAND, OR 972256603

Contact Information

Phone 5034513000
Fax 5032150297
Enumeration Date 2006-10-10
Last Updated 2025-05-01

Taxonomies

Code: 207L00000X
Code: 207P00000X
Code: 207R00000X
Code: 207U00000X
Code: 207V00000X
Code: 207ZP0102X
Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 07

caseMixIndex 1.7735

operatingCostToChargeRatio 0.413

medicaidRatio 0.2285

uncompensatedCareAmount 973.08

internsToBedsRatio 0.0777

vbpAdjustment 1.0121813781

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.413

medicaidRatio 0.2285

uncompensatedCareAmount 973.08

internsToBedsRatio 0.0777

vbpAdjustment 1.0121813781

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.417

medicaidRatio 0.2346

uncompensatedCareAmount 973.08

internsToBedsRatio 0.0771

vbpAdjustment 1.0121813781

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.417

medicaidRatio 0.2346

uncompensatedCareAmount 752.98

internsToBedsRatio 0.0771

vbpAdjustment 1.014754751

hhrAdjustment 0.9995

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.417

medicaidRatio 0.2346

uncompensatedCareAmount 752.98

internsToBedsRatio 0.0771

vbpAdjustment 1.014754751

hhrAdjustment 0.9995

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.417

medicaidRatio 0.2346

uncompensatedCareAmount 744.77

internsToBedsRatio 0.0771

vbpAdjustment 1.0107651772

hhrAdjustment 0.999

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.417

medicaidRatio 0.2476

uncompensatedCareAmount 744.77

internsToBedsRatio 0.0766

vbpAdjustment 1.0107651772

hhrAdjustment 0.999

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.417

medicaidRatio 0.2476

uncompensatedCareAmount 744.77

internsToBedsRatio 0.0766

vbpAdjustment 1.0107651772

hhrAdjustment 0.999

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.398

medicaidRatio 0.2533

uncompensatedCareAmount 744.77

internsToBedsRatio 0.0778

vbpAdjustment 1.0107651772

hhrAdjustment 0.999

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.398

medicaidRatio 0.2533

uncompensatedCareAmount 724.46

internsToBedsRatio 0.0778

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.398

medicaidRatio 0.2533

uncompensatedCareAmount 724.46

internsToBedsRatio 0.0778

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.398

medicaidRatio 0.2533

uncompensatedCareAmount 724.46

internsToBedsRatio 0.0778

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.398

medicaidRatio 0.2533

uncompensatedCareAmount 693.62

internsToBedsRatio 0.0778

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.396

medicaidRatio 0.2501

uncompensatedCareAmount 693.62

internsToBedsRatio 0.0798

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.396

medicaidRatio 0.2501

uncompensatedCareAmount 693.62

internsToBedsRatio 0.0817

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.396

medicaidRatio 0.2501

uncompensatedCareAmount 693.62

internsToBedsRatio 0.0817

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.396

medicaidRatio 0.2501

uncompensatedCareAmount 693.62

internsToBedsRatio 0.0817

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.401

medicaidRatio 0.2299

uncompensatedCareAmount 693.62

internsToBedsRatio 0.0801

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.401

medicaidRatio 0.2299

uncompensatedCareAmount 761.0

internsToBedsRatio 0.0801

vbpAdjustment 1.0077465358

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.413

medicaidRatio 0.2401

uncompensatedCareAmount 762.39

internsToBedsRatio 0.0813

vbpAdjustment 1.0077465358

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.413

medicaidRatio 0.2401

uncompensatedCareAmount 721.36

internsToBedsRatio 0.0813

vbpAdjustment 1.0000576574

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.413

medicaidRatio 0.2401

uncompensatedCareAmount 721.36

internsToBedsRatio 0.0813

vbpAdjustment 1.0000576574

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.413

medicaidRatio 0.2401

uncompensatedCareAmount 1024.87

internsToBedsRatio 0.0813

vbpAdjustment 1.0009528966

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.413

medicaidRatio 0.2401

uncompensatedCareAmount 1024.87

internsToBedsRatio 0.0813

vbpAdjustment 1.0009528966

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.404

medicaidRatio 0.2419

uncompensatedCareAmount 1024.87

internsToBedsRatio 0.0759

vbpAdjustment 1.0009528966

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.404

medicaidRatio 0.2419

uncompensatedCareAmount 1024.87

internsToBedsRatio 0.0759

vbpAdjustment 1.0009528966

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.404

medicaidRatio 0.2419

uncompensatedCareAmount 869.16

internsToBedsRatio 0.0759

vbpAdjustment 1.0049373263

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.7735

operatingCostToChargeRatio 0.416

medicaidRatio 0.2481

uncompensatedCareAmount 869.16

internsToBedsRatio 0.0692

vbpAdjustment 1.0049373263

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 38900

providerType 07

operatingCostToChargeRatio 0.246

deviceCostToChargeRatio 0.294

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.246

deviceCostToChargeRatio 0.294

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.27

deviceCostToChargeRatio 0.356

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.27

deviceCostToChargeRatio 0.356

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.27

deviceCostToChargeRatio 0.356

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.281

deviceCostToChargeRatio 0.39

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.281

deviceCostToChargeRatio 0.39

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.277

deviceCostToChargeRatio 0.483

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.277

deviceCostToChargeRatio 0.483

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.278

deviceCostToChargeRatio 0.504

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 0.504

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 0.504

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.274

deviceCostToChargeRatio 0.546

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.274

deviceCostToChargeRatio 0.546

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.295

deviceCostToChargeRatio 0.562

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.295

deviceCostToChargeRatio 0.562

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.289

deviceCostToChargeRatio 0.564

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.289

deviceCostToChargeRatio 0.564

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.299

deviceCostToChargeRatio 0.575

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

PROVIDENCE ST VINCENT MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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