CCN: 460010 NPI: 1043220650 Organization

INTERMOUNTAIN MEDICAL CENTER

5121 COTTONWOOD ST
MURRAY, UT 841075701

Contact Information

Phone 8015077000
Enumeration Date 2006-08-08
Last Updated 2024-09-16

Taxonomies

Code: 273Y00000X License State: UT License: 2005-HOSP-188
Code: 3416A0800X License State: UT
Code: 282N00000X (Primary) License State: UT License: 2005-HOSP-188

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.22

medicaidRatio 0.2098

uncompensatedCareAmount 1979.39

internsToBedsRatio 0.1508

vbpAdjustment 1.0013776298

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.22

medicaidRatio 0.2098

uncompensatedCareAmount 1979.39

internsToBedsRatio 0.1508

vbpAdjustment 1.0013776298

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.22

medicaidRatio 0.2098

uncompensatedCareAmount 1541.7

internsToBedsRatio 0.1508

vbpAdjustment 1.0048354766

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.228

medicaidRatio 0.2241

uncompensatedCareAmount 1541.7

internsToBedsRatio 0.1468

vbpAdjustment 1.0048354766

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.228

medicaidRatio 0.2241

uncompensatedCareAmount 1541.7

internsToBedsRatio 0.1468

vbpAdjustment 1.0048354766

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.228

medicaidRatio 0.2241

uncompensatedCareAmount 1783.87

internsToBedsRatio 0.1468

vbpAdjustment 1.0017491613

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.271

medicaidRatio 0.2353

uncompensatedCareAmount 1783.87

internsToBedsRatio 0.1385

vbpAdjustment 1.0017491613

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.271

medicaidRatio 0.2353

uncompensatedCareAmount 1783.87

internsToBedsRatio 0.1385

vbpAdjustment 1.0017491613

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.271

medicaidRatio 0.2353

uncompensatedCareAmount 1947.88

internsToBedsRatio 0.1385

hhrAdjustment 0.999

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.268

medicaidRatio 0.2246

uncompensatedCareAmount 1947.88

internsToBedsRatio 0.1467

hhrAdjustment 0.999

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.268

medicaidRatio 0.2246

uncompensatedCareAmount 1947.88

internsToBedsRatio 0.1467

hhrAdjustment 0.999

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.268

medicaidRatio 0.2246

uncompensatedCareAmount 1947.88

internsToBedsRatio 0.1467

hhrAdjustment 0.999

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.268

medicaidRatio 0.2246

uncompensatedCareAmount 2025.91

internsToBedsRatio 0.1467

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.279

medicaidRatio 0.1693

uncompensatedCareAmount 2025.91

internsToBedsRatio 0.1386

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.279

medicaidRatio 0.1693

uncompensatedCareAmount 2025.91

internsToBedsRatio 0.1386

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.279

medicaidRatio 0.1693

uncompensatedCareAmount 2025.91

internsToBedsRatio 0.1386

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.1425

operatingCostToChargeRatio 0.279

medicaidRatio 0.1693

uncompensatedCareAmount 2025.91

internsToBedsRatio 0.1386

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.1425

operatingCostToChargeRatio 0.279

medicaidRatio 0.1693

uncompensatedCareAmount 2025.91

internsToBedsRatio 0.1386

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.279

medicaidRatio 0.1693

uncompensatedCareAmount 2112.55

internsToBedsRatio 0.1386

vbpAdjustment 0.9955573062

hhrAdjustment 0.9998

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.1425

operatingCostToChargeRatio 0.26

medicaidRatio 0.1822

uncompensatedCareAmount 2112.55

internsToBedsRatio 0.1392

vbpAdjustment 0.9955573062

hhrAdjustment 0.9998

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.1425

operatingCostToChargeRatio 0.26

medicaidRatio 0.1822

uncompensatedCareAmount 2116.39

internsToBedsRatio 0.1392

vbpAdjustment 0.9955573062

hhrAdjustment 0.9998

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.1425

operatingCostToChargeRatio 0.26

medicaidRatio 0.1822

uncompensatedCareAmount 2178.54

internsToBedsRatio 0.1392

vbpAdjustment 0.9972023083

hhrAdjustment 0.9995

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.1425

operatingCostToChargeRatio 0.263

medicaidRatio 0.1642

uncompensatedCareAmount 2178.54

internsToBedsRatio 0.1307

vbpAdjustment 0.9972023083

hhrAdjustment 0.9995

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.1425

operatingCostToChargeRatio 0.263

medicaidRatio 0.1642

uncompensatedCareAmount 2178.54

internsToBedsRatio 0.1307

vbpAdjustment 0.9972023083

hhrAdjustment 0.9995

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.1425

operatingCostToChargeRatio 0.263

medicaidRatio 0.1642

uncompensatedCareAmount 1610.25

internsToBedsRatio 0.1307

vbpAdjustment 0.9935577566

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.1425

operatingCostToChargeRatio 0.263

medicaidRatio 0.1642

uncompensatedCareAmount 1610.25

internsToBedsRatio 0.1307

vbpAdjustment 0.9935577566

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.1425

operatingCostToChargeRatio 0.275

medicaidRatio 0.157

uncompensatedCareAmount 1610.25

internsToBedsRatio 0.1389

vbpAdjustment 0.9935577566

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.1425

operatingCostToChargeRatio 0.275

medicaidRatio 0.157

uncompensatedCareAmount 1610.25

internsToBedsRatio 0.1389

vbpAdjustment 0.9935577566

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.1425

operatingCostToChargeRatio 0.275

medicaidRatio 0.157

uncompensatedCareAmount 975.71

internsToBedsRatio 0.1389

vbpAdjustment 0.992850673

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.1425

operatingCostToChargeRatio 0.277

medicaidRatio 0.1561

uncompensatedCareAmount 975.71

internsToBedsRatio 0.1518

vbpAdjustment 0.992850673

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 41620

providerType 07

operatingCostToChargeRatio 0.208

deviceCostToChargeRatio 0.196

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 07

operatingCostToChargeRatio 0.208

deviceCostToChargeRatio 0.196

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 07

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.194

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 07

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.194

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 07

operatingCostToChargeRatio 0.234

deviceCostToChargeRatio 0.216

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 07

operatingCostToChargeRatio 0.234

deviceCostToChargeRatio 0.216

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 07

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.219

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 07

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.219

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 07

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.228

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.228

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 07

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.228

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 07

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.225

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.225

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.225

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.252

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.252

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.261

deviceCostToChargeRatio 0.306

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.261

deviceCostToChargeRatio 0.306

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.254

deviceCostToChargeRatio 0.304

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

INTERMOUNTAIN MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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