CCN: 380075 NPI: 1689755670 Organization

PROVIDENCE MEDFORD MEDICAL CENTER

1111 CRATER LAKE AVE
MEDFORD, OR 975046241

Contact Information

Phone 5034513000
Fax 5032150290
Enumeration Date 2006-10-18
Last Updated 2025-05-27

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 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.315

medicaidRatio 0.2145

uncompensatedCareAmount 704.55

vbpAdjustment 0.9993662936

hhrAdjustment 0.9976

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.315

medicaidRatio 0.2145

uncompensatedCareAmount 704.55

vbpAdjustment 0.9993662936

hhrAdjustment 0.9976

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.315

medicaidRatio 0.2145

uncompensatedCareAmount 597.61

vbpAdjustment 1.0034930184

hhrAdjustment 0.9992

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.321

medicaidRatio 0.23

uncompensatedCareAmount 597.61

vbpAdjustment 1.0034930184

hhrAdjustment 0.9992

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.321

medicaidRatio 0.23

uncompensatedCareAmount 597.61

vbpAdjustment 1.0034930184

hhrAdjustment 0.9992

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.332

medicaidRatio 0.2291

uncompensatedCareAmount 597.61

vbpAdjustment 1.0034930184

hhrAdjustment 0.9992

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.332

medicaidRatio 0.2291

uncompensatedCareAmount 625.2

vbpAdjustment 1.0196230175

hhrAdjustment 0.996

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.332

medicaidRatio 0.2291

uncompensatedCareAmount 625.2

vbpAdjustment 1.0196230175

hhrAdjustment 0.996

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.332

medicaidRatio 0.2291

uncompensatedCareAmount 542.01

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.327

medicaidRatio 0.2556

uncompensatedCareAmount 542.01

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.327

medicaidRatio 0.2556

uncompensatedCareAmount 542.01

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.327

medicaidRatio 0.2556

uncompensatedCareAmount 542.01

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.327

medicaidRatio 0.2556

uncompensatedCareAmount 542.01

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.327

medicaidRatio 0.2556

uncompensatedCareAmount 472.42

hhrAdjustment 0.9916

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.326

medicaidRatio 0.2261

uncompensatedCareAmount 472.42

hhrAdjustment 0.9916

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.331

medicaidRatio 0.2261

uncompensatedCareAmount 472.42

hhrAdjustment 0.9916

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 15

caseMixIndex 1.3998

operatingCostToChargeRatio 0.331

medicaidRatio 0.2261

uncompensatedCareAmount 472.42

hhrAdjustment 0.9916

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.331

medicaidRatio 0.2261

uncompensatedCareAmount 472.42

hhrAdjustment 0.9916

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.331

medicaidRatio 0.2261

uncompensatedCareAmount 472.42

hhrAdjustment 0.9916

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.309

medicaidRatio 0.2274

uncompensatedCareAmount 472.42

hhrAdjustment 0.9916

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.309

medicaidRatio 0.2274

uncompensatedCareAmount 627.78

vbpAdjustment 1.009671151

hhrAdjustment 0.9927

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.318

medicaidRatio 0.2338

uncompensatedCareAmount 628.92

vbpAdjustment 1.009671151

hhrAdjustment 0.9927

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.318

medicaidRatio 0.2338

uncompensatedCareAmount 488.35

vbpAdjustment 1.0073832663

hhrAdjustment 0.9828

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.318

medicaidRatio 0.2338

uncompensatedCareAmount 488.35

vbpAdjustment 1.0073832663

hhrAdjustment 0.9828

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.318

medicaidRatio 0.2338

uncompensatedCareAmount 653.21

vbpAdjustment 1.0084191437

hhrAdjustment 0.9949

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.318

medicaidRatio 0.2338

uncompensatedCareAmount 653.21

vbpAdjustment 1.0084191437

hhrAdjustment 0.9949

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.312

medicaidRatio 0.2307

uncompensatedCareAmount 653.21

vbpAdjustment 1.0084191437

hhrAdjustment 0.9949

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.312

medicaidRatio 0.2307

uncompensatedCareAmount 653.21

vbpAdjustment 1.0084191437

hhrAdjustment 0.9949

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.312

medicaidRatio 0.2307

uncompensatedCareAmount 462.89

vbpAdjustment 1.0026039689

hhrAdjustment 0.9885

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.327

medicaidRatio 0.2314

uncompensatedCareAmount 462.89

vbpAdjustment 1.0026039689

hhrAdjustment 0.9885

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 07

caseMixIndex 1.3998

operatingCostToChargeRatio 0.327

medicaidRatio 0.2314

uncompensatedCareAmount 462.89

vbpAdjustment 1.0026039689

hhrAdjustment 0.9885

censusDivision 9

cbsaActualGeographicLocation 32780

providerType 00

caseMixIndex 1.3998

operatingCostToChargeRatio 0.327

medicaidRatio 0.2314

uncompensatedCareAmount 462.89

vbpAdjustment 1.0026039689

hhrAdjustment 0.9885

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.424

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.424

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.424

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.424

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.253

deviceCostToChargeRatio 0.43

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.253

deviceCostToChargeRatio 0.43

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.276

deviceCostToChargeRatio 0.454

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.276

deviceCostToChargeRatio 0.454

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.287

deviceCostToChargeRatio 0.489

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.287

deviceCostToChargeRatio 0.489

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.287

deviceCostToChargeRatio 0.489

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.287

deviceCostToChargeRatio 0.489

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.264

deviceCostToChargeRatio 0.472

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 15

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 0.472

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 07

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 0.472

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 07

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 0.472

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 07

operatingCostToChargeRatio 0.249

deviceCostToChargeRatio 0.488

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 07

operatingCostToChargeRatio 0.249

deviceCostToChargeRatio 0.488

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 07

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.502

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 07

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.502

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 07

operatingCostToChargeRatio 0.251

deviceCostToChargeRatio 0.507

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 07

operatingCostToChargeRatio 0.251

deviceCostToChargeRatio 0.507

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 07

operatingCostToChargeRatio 0.257

deviceCostToChargeRatio 0.532

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

cbsaActualGeographicLocation 32780

providerType 00

operatingCostToChargeRatio 0.257

deviceCostToChargeRatio 0.532

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 99

PROVIDENCE MEDFORD MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

Supercharge Your Revenue Cycle Analytics