CCN: 462004 NPI: 1992548960 Organization

SALT LAKE SPECIALTY HOSPITAL

4252 S BIRKHILL BLVD
MURRAY, UT 841075715

Contact Information

Phone 3854250050
Enumeration Date 2024-06-17
Last Updated 2024-06-17

Taxonomies

Code: 3336I0012X
Code: 333600000X
Code: 282E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.436

medicaidRatio 0.2221

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.436

medicaidRatio 0.2221

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.457

medicaidRatio 0.2046

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.457

medicaidRatio 0.2046

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.457

medicaidRatio 0.2046

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.381

medicaidRatio 0.1818

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.381

medicaidRatio 0.1818

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.381

medicaidRatio 0.1818

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.309

medicaidRatio 0.215

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.309

medicaidRatio 0.215

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.309

medicaidRatio 0.215

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.281

medicaidRatio 0.2304

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.281

medicaidRatio 0.2304

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.281

medicaidRatio 0.2304

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.281

medicaidRatio 0.2304

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.221

medicaidRatio 0.1042

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.221

medicaidRatio 0.1042

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.221

medicaidRatio 0.1042

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.221

medicaidRatio 0.1042

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.221

medicaidRatio 0.1042

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.216

medicaidRatio 0.1032

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.216

medicaidRatio 0.1032

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.216

medicaidRatio 0.1032

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.216

medicaidRatio 0.1032

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.207

medicaidRatio 0.0815

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.207

medicaidRatio 0.0815

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.207

medicaidRatio 0.0815

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.207

medicaidRatio 0.0815

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.24

medicaidRatio 0.0226

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.24

medicaidRatio 0.0226

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.24

medicaidRatio 0.0226

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.24

medicaidRatio 0.0226

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.25

medicaidRatio 0.0609

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.25

medicaidRatio 0.0609

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.25

medicaidRatio 0.0609

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.25

medicaidRatio 0.0609

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.248

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.248

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.248

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.248

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.26

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.26

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.26

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.26

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.262

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.262

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.262

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.262

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.262

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.299

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.299

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.299

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.336

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.336

medicaidRatio 0.026

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.337

medicaidRatio 0.0632

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.337

medicaidRatio 0.0632

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.337

medicaidRatio 0.0632

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.349

medicaidRatio 0.0632

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.349

medicaidRatio 0.0632

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.349

medicaidRatio 0.0632

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.201

deviceCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.201

deviceCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.132

deviceCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.132

deviceCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.132

deviceCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.132

deviceCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.066

deviceCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.066

deviceCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.066

deviceCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.066

deviceCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.066

deviceCostToChargeRatio 0.22

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.098

deviceCostToChargeRatio 0.235

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.098

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.082

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.082

specialPaymentIndicator 1

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.467

specialPaymentIndicator 1

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.467

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.467

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.467

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.467

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.467

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.467

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.467

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.467

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.467

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.467

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 02

operatingCostToChargeRatio 0.467

specialPaymentIndicator

carrierCode 03502

localityCode 09

SALT LAKE SPECIALTY HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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