CCN: 390066 NPI: 1407928500 Organization

WELLSPAN GOOD SAMARITAN HOSPITAL

252 S 4TH ST
LEBANON, PA 170426123

Contact Information

Phone 7172707500
Enumeration Date 2006-11-14
Last Updated 2025-04-30

Taxonomies

Code: 207P00000X
Code: 207ZC0006X
Code: 261QA1903X
Code: 261QR0200X
Code: 261QX0203X
Code: 282N00000X (Primary) License State: PA License: 072401

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.243

medicaidRatio 0.1755

uncompensatedCareAmount 658.56

internsToBedsRatio 0.1076

vbpAdjustment 1.0005156286

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.243

medicaidRatio 0.1755

uncompensatedCareAmount 658.56

internsToBedsRatio 0.1076

vbpAdjustment 1.0005156286

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.243

medicaidRatio 0.1751

uncompensatedCareAmount 658.56

internsToBedsRatio 0.1245

vbpAdjustment 1.0005156286

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.215

medicaidRatio 0.1751

uncompensatedCareAmount 658.56

internsToBedsRatio 0.1245

vbpAdjustment 1.0005156286

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.215

medicaidRatio 0.1751

uncompensatedCareAmount 468.99

internsToBedsRatio 0.1245

vbpAdjustment 1.0117715106

hhrAdjustment 0.9995

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.215

medicaidRatio 0.1751

uncompensatedCareAmount 468.99

internsToBedsRatio 0.1245

vbpAdjustment 1.0117715106

hhrAdjustment 0.9995

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.215

medicaidRatio 0.1751

uncompensatedCareAmount 468.99

internsToBedsRatio 0.1245

vbpAdjustment 1.0117715106

hhrAdjustment 0.9995

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.215

medicaidRatio 0.1731

uncompensatedCareAmount 468.99

internsToBedsRatio 0.1207

vbpAdjustment 1.0117715106

hhrAdjustment 0.9995

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.269

medicaidRatio 0.1731

uncompensatedCareAmount 468.99

internsToBedsRatio 0.1207

vbpAdjustment 1.0117715106

hhrAdjustment 0.9995

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.269

medicaidRatio 0.1731

uncompensatedCareAmount 464.68

internsToBedsRatio 0.1207

vbpAdjustment 1.0121887587

hhrAdjustment 0.9947

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.269

medicaidRatio 0.1731

uncompensatedCareAmount 464.68

internsToBedsRatio 0.1207

vbpAdjustment 1.0121887587

hhrAdjustment 0.9947

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.269

medicaidRatio 0.1731

uncompensatedCareAmount 464.68

internsToBedsRatio 0.1207

vbpAdjustment 1.0121887587

hhrAdjustment 0.9947

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.269

medicaidRatio 0.1713

uncompensatedCareAmount 464.68

internsToBedsRatio 0.1343

vbpAdjustment 1.0121887587

hhrAdjustment 0.9947

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.297

medicaidRatio 0.1713

uncompensatedCareAmount 464.68

internsToBedsRatio 0.1343

vbpAdjustment 1.0121887587

hhrAdjustment 0.9947

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.297

medicaidRatio 0.1713

uncompensatedCareAmount 412.26

internsToBedsRatio 0.1343

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.297

medicaidRatio 0.1713

uncompensatedCareAmount 412.26

internsToBedsRatio 0.1343

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.297

medicaidRatio 0.1713

uncompensatedCareAmount 412.26

internsToBedsRatio 0.1343

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.272

medicaidRatio 0.1623

uncompensatedCareAmount 412.26

internsToBedsRatio 0.1091

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.272

medicaidRatio 0.1623

uncompensatedCareAmount 404.62

internsToBedsRatio 0.1091

hhrAdjustment 0.999

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.272

medicaidRatio 0.1623

uncompensatedCareAmount 404.62

internsToBedsRatio 0.1091

hhrAdjustment 0.999

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.272

medicaidRatio 0.1623

uncompensatedCareAmount 404.62

internsToBedsRatio 0.1091

hhrAdjustment 0.999

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.257

medicaidRatio 0.1623

uncompensatedCareAmount 404.62

internsToBedsRatio 0.1091

hhrAdjustment 0.999

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.257

medicaidRatio 0.1859

uncompensatedCareAmount 404.62

internsToBedsRatio 0.1042

hhrAdjustment 0.999

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.257

medicaidRatio 0.1859

uncompensatedCareAmount 404.62

internsToBedsRatio 0.1042

hhrAdjustment 0.999

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 07

caseMixIndex 1.2193

operatingCostToChargeRatio 0.257

medicaidRatio 0.1859

uncompensatedCareAmount 265.22

internsToBedsRatio 0.1042

vbpAdjustment 1.001651921

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.257

medicaidRatio 0.1859

uncompensatedCareAmount 265.22

internsToBedsRatio 0.1042

vbpAdjustment 1.001651921

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.257

medicaidRatio 0.1859

uncompensatedCareAmount 265.22

internsToBedsRatio 0.1042

vbpAdjustment 1.001651921

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.257

medicaidRatio 0.1779

uncompensatedCareAmount 265.22

internsToBedsRatio 0.0934

vbpAdjustment 1.001651921

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.26

medicaidRatio 0.1779

uncompensatedCareAmount 265.22

internsToBedsRatio 0.0934

vbpAdjustment 1.001651921

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.26

medicaidRatio 0.1779

uncompensatedCareAmount 24.49

internsToBedsRatio 0.0934

vbpAdjustment 0.9997299944

hhrAdjustment 0.9989

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.26

medicaidRatio 0.1779

uncompensatedCareAmount 24.49

internsToBedsRatio 0.0934

vbpAdjustment 0.9997299944

hhrAdjustment 0.9989

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.26

medicaidRatio 0.1779

uncompensatedCareAmount 24.49

internsToBedsRatio 0.0934

vbpAdjustment 0.9997299944

hhrAdjustment 0.9989

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.26

medicaidRatio 0.1697

uncompensatedCareAmount 24.49

internsToBedsRatio 0.1446

vbpAdjustment 0.9997299944

hhrAdjustment 0.9989

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.364

medicaidRatio 0.1697

uncompensatedCareAmount 24.49

internsToBedsRatio 0.1446

vbpAdjustment 0.9997299944

hhrAdjustment 0.9989

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.364

medicaidRatio 0.1697

uncompensatedCareAmount 770.75

internsToBedsRatio 0.1446

vbpAdjustment 0.9923252333

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.364

medicaidRatio 0.1697

uncompensatedCareAmount 770.75

internsToBedsRatio 0.1446

vbpAdjustment 0.9923252333

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.364

medicaidRatio 0.1697

uncompensatedCareAmount 770.75

internsToBedsRatio 0.1446

vbpAdjustment 0.9923252333

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.364

medicaidRatio 0.1452

uncompensatedCareAmount 770.75

internsToBedsRatio 0.091

vbpAdjustment 0.9923252333

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.369

medicaidRatio 0.1452

uncompensatedCareAmount 770.75

internsToBedsRatio 0.091

vbpAdjustment 0.9923252333

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.369

medicaidRatio 0.1452

uncompensatedCareAmount 454.57

internsToBedsRatio 0.091

vbpAdjustment 0.9923206773

hhrAdjustment 0.997

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.369

medicaidRatio 0.1732

uncompensatedCareAmount 454.57

internsToBedsRatio 0.0656

vbpAdjustment 0.9923206773

hhrAdjustment 0.997

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.369

medicaidRatio 0.1732

uncompensatedCareAmount 454.57

internsToBedsRatio 0.0656

vbpAdjustment 0.9923206773

hhrAdjustment 0.997

censusDivision 2

cbsaActualGeographicLocation 30140

providerType 00

caseMixIndex 1.2193

operatingCostToChargeRatio 0.369

medicaidRatio 0.1732

uncompensatedCareAmount 454.57

internsToBedsRatio 0.0656

vbpAdjustment 0.9923206773

hhrAdjustment 0.997

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 30140

providerType 07

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.227

specialPaymentIndicator D

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 07

operatingCostToChargeRatio 0.171

deviceCostToChargeRatio 0.217

specialPaymentIndicator D

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 07

operatingCostToChargeRatio 0.171

deviceCostToChargeRatio 0.217

specialPaymentIndicator D

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 07

operatingCostToChargeRatio 0.19

deviceCostToChargeRatio 0.286

specialPaymentIndicator D

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 07

operatingCostToChargeRatio 0.19

deviceCostToChargeRatio 0.286

specialPaymentIndicator D

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 07

operatingCostToChargeRatio 0.188

deviceCostToChargeRatio 0.261

specialPaymentIndicator D

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 07

operatingCostToChargeRatio 0.188

deviceCostToChargeRatio 0.261

specialPaymentIndicator Y

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 07

operatingCostToChargeRatio 0.19

deviceCostToChargeRatio 0.191

specialPaymentIndicator Y

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 07

operatingCostToChargeRatio 0.19

deviceCostToChargeRatio 0.191

specialPaymentIndicator Y

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 07

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.174

specialPaymentIndicator Y

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 07

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.174

specialPaymentIndicator Y

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 00

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.174

specialPaymentIndicator Y

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 00

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.174

specialPaymentIndicator Y

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 00

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.15

specialPaymentIndicator Y

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 00

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.15

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 00

operatingCostToChargeRatio 0.272

deviceCostToChargeRatio 0.191

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 00

operatingCostToChargeRatio 0.272

deviceCostToChargeRatio 0.191

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 00

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.382

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 00

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.382

specialPaymentIndicator

carrierCode 12502

localityCode 99

cbsaActualGeographicLocation 30140

providerType 00

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.382

specialPaymentIndicator

carrierCode 12502

localityCode 99

WELLSPAN GOOD SAMARITAN HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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