CCN: 430083 NPI: 1558395848 Organization

PHS INDIAN HOSPITAL AT EAGLE BUTTE

24276 166TH STREET , AIRPORT ROAD
EAGLE BUTTE, SD 576251012

Contact Information

Phone 6059647724
Enumeration Date 2006-07-10
Last Updated 2012-02-21

Taxonomies

Code: 251K00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.321

medicaidRatio 0.3891

uncompensatedCareAmount 495.4

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.321

medicaidRatio 0.3891

uncompensatedCareAmount 495.4

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.321

medicaidRatio 0.3891

uncompensatedCareAmount 495.4

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.321

medicaidRatio 0.3891

uncompensatedCareAmount 557.13

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.321

medicaidRatio 0.2604

uncompensatedCareAmount 557.13

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.321

medicaidRatio 0.2604

uncompensatedCareAmount 557.13

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.331

medicaidRatio 0.2604

uncompensatedCareAmount 518.29

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.331

medicaidRatio 0.2604

uncompensatedCareAmount 518.29

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.331

medicaidRatio 0.1218

uncompensatedCareAmount 518.29

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.331

medicaidRatio 0.1218

uncompensatedCareAmount 518.29

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.344

medicaidRatio 0.1218

uncompensatedCareAmount 472.6

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.344

medicaidRatio 0.1218

uncompensatedCareAmount 472.6

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.344

medicaidRatio 0.1841

uncompensatedCareAmount 472.6

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.344

medicaidRatio 0.1841

uncompensatedCareAmount 472.6

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.341

medicaidRatio 0.1841

uncompensatedCareAmount 914.99

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.341

medicaidRatio 0.0835

uncompensatedCareAmount 914.99

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.341

medicaidRatio 0.0835

uncompensatedCareAmount 914.99

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 43

providerType 08

caseMixIndex 0.8727

operatingCostToChargeRatio 0.341

medicaidRatio 0.0835

uncompensatedCareAmount 914.99

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.29

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.29

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.29

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.307

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.307

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.346

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.346

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 99

providerType

operatingCostToChargeRatio 0.391

specialPaymentIndicator

carrierCode 03402

localityCode 02

PHS INDIAN HOSPITAL AT EAGLE BUTTE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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