CCN: 490067 NPI: 1720623853 Organization

BON SECOURS SOUTHSIDE MEDICAL CENTER

200 MEDICAL PARK BLVD
PETERSBURG, VA 238059274

Contact Information

Phone 8047655000
Enumeration Date 2019-11-13
Last Updated 2020-11-23

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 07

caseMixIndex 1.0

operatingCostToChargeRatio 0.098

medicaidRatio 0.2753

uncompensatedCareAmount 469.31

vbpAdjustment 0.9955734883

hhrAdjustment 0.9877

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 07

caseMixIndex 1.0

operatingCostToChargeRatio 0.098

medicaidRatio 0.2753

uncompensatedCareAmount 469.31

vbpAdjustment 0.9955734883

hhrAdjustment 0.9877

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.098

medicaidRatio 0.2753

uncompensatedCareAmount 469.31

vbpAdjustment 0.9955734883

hhrAdjustment 0.9877

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.098

medicaidRatio 0.2753

uncompensatedCareAmount 352.91

vbpAdjustment 0.9914108946

hhrAdjustment 0.9906

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.111

medicaidRatio 0.2891

uncompensatedCareAmount 352.91

vbpAdjustment 0.9914108946

hhrAdjustment 0.9906

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.111

medicaidRatio 0.2891

uncompensatedCareAmount 352.91

vbpAdjustment 0.9914108946

hhrAdjustment 0.9906

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.123

medicaidRatio 0.2949

uncompensatedCareAmount 462.32

vbpAdjustment 0.9949476054

hhrAdjustment 0.9861

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.123

medicaidRatio 0.2949

uncompensatedCareAmount 462.32

vbpAdjustment 0.9949476054

hhrAdjustment 0.9861

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.124

medicaidRatio 0.2986

uncompensatedCareAmount 462.32

vbpAdjustment 0.9949476054

hhrAdjustment 0.9861

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.124

medicaidRatio 0.2986

uncompensatedCareAmount 515.79

hhrAdjustment 0.9919

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.124

medicaidRatio 0.2986

uncompensatedCareAmount 515.79

hhrAdjustment 0.9919

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.135

medicaidRatio 0.2561

uncompensatedCareAmount 624.13

hhrAdjustment 0.9851

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.135

medicaidRatio 0.2561

uncompensatedCareAmount 624.13

hhrAdjustment 0.9851

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.135

medicaidRatio 0.2561

uncompensatedCareAmount 624.13

hhrAdjustment 0.9851

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.101

medicaidRatio 0.3091

uncompensatedCareAmount 624.13

hhrAdjustment 0.9851

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.101

medicaidRatio 0.3091

uncompensatedCareAmount 693.97

vbpAdjustment 0.9998876904

hhrAdjustment 0.9891

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.101

medicaidRatio 0.3083

uncompensatedCareAmount 693.97

vbpAdjustment 0.9998876904

hhrAdjustment 0.9891

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.101

medicaidRatio 0.3083

uncompensatedCareAmount 759.19

vbpAdjustment 1.0012746915

hhrAdjustment 0.9857

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.095

medicaidRatio 0.2164

uncompensatedCareAmount 759.19

vbpAdjustment 1.0012746915

hhrAdjustment 0.9857

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.095

medicaidRatio 0.2164

uncompensatedCareAmount 759.19

vbpAdjustment 1.0012746915

hhrAdjustment 0.9857

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.094

medicaidRatio 0.1644

uncompensatedCareAmount 759.19

vbpAdjustment 1.0012746915

hhrAdjustment 0.9857

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.094

medicaidRatio 0.1644

uncompensatedCareAmount 657.9

vbpAdjustment 0.9950036013

hhrAdjustment 0.9796

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.094

medicaidRatio 0.1644

uncompensatedCareAmount 657.9

vbpAdjustment 0.9950036013

hhrAdjustment 0.9796

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.094

medicaidRatio 0.1644

uncompensatedCareAmount 657.9

vbpAdjustment 0.9950036013

hhrAdjustment 0.9796

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.092

medicaidRatio 0.1641

uncompensatedCareAmount 657.9

vbpAdjustment 0.9950036013

hhrAdjustment 0.9796

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.092

medicaidRatio 0.1641

uncompensatedCareAmount 529.12

vbpAdjustment 0.9926992456

hhrAdjustment 0.9709

censusDivision 3

cbsaActualGeographicLocation 40060

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.105

medicaidRatio 0.1504

uncompensatedCareAmount 529.12

vbpAdjustment 0.9926992456

hhrAdjustment 0.9709

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 40060

providerType 07

operatingCostToChargeRatio 0.062

deviceCostToChargeRatio 0.156

specialPaymentIndicator Y

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.062

deviceCostToChargeRatio 0.156

specialPaymentIndicator Y

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.062

deviceCostToChargeRatio 0.156

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.069

deviceCostToChargeRatio 0.172

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.069

deviceCostToChargeRatio 0.172

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.071

deviceCostToChargeRatio 0.17

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.071

deviceCostToChargeRatio 0.17

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.069

deviceCostToChargeRatio 0.17

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.069

deviceCostToChargeRatio 0.17

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.081

deviceCostToChargeRatio 0.187

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.081

deviceCostToChargeRatio 0.187

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.055

deviceCostToChargeRatio 0.132

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.055

deviceCostToChargeRatio 0.132

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.055

deviceCostToChargeRatio 0.132

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.054

deviceCostToChargeRatio 0.105

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.054

deviceCostToChargeRatio 0.105

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.055

deviceCostToChargeRatio 0.105

specialPaymentIndicator

carrierCode 11302

localityCode 00

cbsaActualGeographicLocation 40060

providerType 00

operatingCostToChargeRatio 0.059

deviceCostToChargeRatio 0.121

specialPaymentIndicator

carrierCode 11302

localityCode 00

BON SECOURS SOUTHSIDE MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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