CCN: 430013 NPI: 1154324507 Organization

AVERA QUEEN OF PEACE

525 N FOSTER ST
MITCHELL, SD 573012966

Contact Information

Phone 6059952000
Fax 6059952441
Enumeration Date 2005-05-31
Last Updated 2020-08-20

Taxonomies

Code: 207P00000X
Code: 207Q00000X
Code: 367500000X
Code: 282NR1301X (Primary) License State: SD License: 10552

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.262

medicaidRatio 0.1299

uncompensatedCareAmount 641.31

hhrAdjustment 0.9998

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.262

medicaidRatio 0.1299

uncompensatedCareAmount 641.31

hhrAdjustment 0.9998

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.262

medicaidRatio 0.1299

uncompensatedCareAmount 641.31

hhrAdjustment 0.9998

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.262

medicaidRatio 0.1299

uncompensatedCareAmount 681.36

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.289

medicaidRatio 0.1575

uncompensatedCareAmount 681.36

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.289

medicaidRatio 0.1575

uncompensatedCareAmount 681.36

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.289

medicaidRatio 0.1575

uncompensatedCareAmount 681.36

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.289

medicaidRatio 0.1575

uncompensatedCareAmount 993.29

vbpAdjustment 1.0034161516

hhrAdjustment 0.9997

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.295

medicaidRatio 0.1561

uncompensatedCareAmount 993.29

vbpAdjustment 1.0034161516

hhrAdjustment 0.9997

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.295

medicaidRatio 0.1561

uncompensatedCareAmount 848.58

vbpAdjustment 0.9978810388

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.295

medicaidRatio 0.1561

uncompensatedCareAmount 848.58

vbpAdjustment 0.9978810388

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.298

medicaidRatio 0.1663

uncompensatedCareAmount 848.58

vbpAdjustment 0.9978810388

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.298

medicaidRatio 0.1663

uncompensatedCareAmount 666.34

vbpAdjustment 1.002896491

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.298

medicaidRatio 0.1663

uncompensatedCareAmount 666.34

vbpAdjustment 1.002896491

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.298

medicaidRatio 0.1663

uncompensatedCareAmount 666.34

vbpAdjustment 1.002896491

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.287

medicaidRatio 0.1424

uncompensatedCareAmount 666.34

vbpAdjustment 1.002896491

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.287

medicaidRatio 0.1424

uncompensatedCareAmount 401.37

vbpAdjustment 1.0023561788

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.287

medicaidRatio 0.1424

uncompensatedCareAmount 401.37

vbpAdjustment 1.0023561788

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 21

caseMixIndex 0.9125

operatingCostToChargeRatio 0.304

medicaidRatio 0.1328

uncompensatedCareAmount 401.37

vbpAdjustment 1.0023561788

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 43

providerType 21

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.415

specialPaymentIndicator

costOfLivingAdjustment 0.931

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 21

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.415

specialPaymentIndicator

costOfLivingAdjustment 0.931

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 21

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.421

specialPaymentIndicator

costOfLivingAdjustment 0.931

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 21

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.421

specialPaymentIndicator

costOfLivingAdjustment 0.931

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 21

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.505

specialPaymentIndicator

costOfLivingAdjustment 0.931

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 21

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.505

specialPaymentIndicator

costOfLivingAdjustment 0.931

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 21

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.8

specialPaymentIndicator

costOfLivingAdjustment 0.931

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 21

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.8

specialPaymentIndicator

costOfLivingAdjustment 0.931

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 21

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.815

specialPaymentIndicator

costOfLivingAdjustment 0.931

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 21

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.815

specialPaymentIndicator

costOfLivingAdjustment 0.931

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 43

providerType 21

operatingCostToChargeRatio 0.248

deviceCostToChargeRatio 0.798

specialPaymentIndicator

costOfLivingAdjustment 0.931

carrierCode 03402

localityCode 02

AVERA QUEEN OF PEACE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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