CCN: 500002 NPI: 1386895886 Organization

PROVIDENCE ST MARY MEDICAL CENTER

401 W POPLAR ST
WALLA WALLA, WA 993622846

Contact Information

Phone 5098973320
Enumeration Date 2008-10-02
Last Updated 2025-05-07

Taxonomies

Code: 282N00000X (Primary) License State: WA License: H-050

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.319

medicaidRatio 0.1983

uncompensatedCareAmount 540.14

vbpAdjustment 0.9978146915

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.32

medicaidRatio 0.1879

uncompensatedCareAmount 540.14

vbpAdjustment 0.9978146915

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.32

medicaidRatio 0.1879

uncompensatedCareAmount 408.58

vbpAdjustment 1.0038286329

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.32

medicaidRatio 0.1879

uncompensatedCareAmount 408.58

vbpAdjustment 1.0038286329

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.319

medicaidRatio 0.1833

uncompensatedCareAmount 408.58

vbpAdjustment 1.0038286329

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.319

medicaidRatio 0.1833

uncompensatedCareAmount 380.0

vbpAdjustment 1.0039636213

hhrAdjustment 0.9997

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.319

medicaidRatio 0.1833

uncompensatedCareAmount 380.0

vbpAdjustment 1.0039636213

hhrAdjustment 0.9997

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.301

medicaidRatio 0.2106

uncompensatedCareAmount 380.0

vbpAdjustment 1.0039636213

hhrAdjustment 0.9997

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.301

medicaidRatio 0.2106

uncompensatedCareAmount 372.67

hhrAdjustment 0.9979

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.301

medicaidRatio 0.2106

uncompensatedCareAmount 372.67

hhrAdjustment 0.9979

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.301

medicaidRatio 0.2106

uncompensatedCareAmount 372.67

hhrAdjustment 0.9979

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.301

medicaidRatio 0.2106

uncompensatedCareAmount 329.08

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.296

medicaidRatio 0.2088

uncompensatedCareAmount 329.08

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.296

medicaidRatio 0.2088

uncompensatedCareAmount 329.08

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.296

medicaidRatio 0.2088

uncompensatedCareAmount 329.08

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.296

medicaidRatio 0.2117

uncompensatedCareAmount 329.08

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.296

medicaidRatio 0.2117

uncompensatedCareAmount 374.73

vbpAdjustment 1.0105532663

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.31

medicaidRatio 0.2237

uncompensatedCareAmount 374.73

vbpAdjustment 1.0105532663

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.31

medicaidRatio 0.2237

uncompensatedCareAmount 374.73

vbpAdjustment 1.0105532663

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.31

medicaidRatio 0.2237

uncompensatedCareAmount 303.56

vbpAdjustment 1.0058385692

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.31

medicaidRatio 0.2237

uncompensatedCareAmount 303.56

vbpAdjustment 1.0058385692

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.31

medicaidRatio 0.2237

uncompensatedCareAmount 317.74

vbpAdjustment 1.0107182737

hhrAdjustment 0.9992

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.31

medicaidRatio 0.2237

uncompensatedCareAmount 317.74

vbpAdjustment 1.0107182737

hhrAdjustment 0.9992

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.315

medicaidRatio 0.2421

uncompensatedCareAmount 317.74

vbpAdjustment 1.0107182737

hhrAdjustment 0.9992

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.315

medicaidRatio 0.2421

uncompensatedCareAmount 317.74

vbpAdjustment 1.0107182737

hhrAdjustment 0.9992

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.315

medicaidRatio 0.2421

uncompensatedCareAmount 213.33

vbpAdjustment 1.0071743208

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 17

caseMixIndex 1.0546

operatingCostToChargeRatio 0.381

medicaidRatio 0.2388

uncompensatedCareAmount 213.33

vbpAdjustment 1.0071743208

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 47460

providerType 07

caseMixIndex 1.0546

operatingCostToChargeRatio 0.381

medicaidRatio 0.2388

uncompensatedCareAmount 213.33

vbpAdjustment 1.0071743208

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.207

deviceCostToChargeRatio 0.401

specialPaymentIndicator D

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.207

deviceCostToChargeRatio 0.401

specialPaymentIndicator D

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.469

specialPaymentIndicator D

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.469

specialPaymentIndicator D

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.469

specialPaymentIndicator D

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.476

specialPaymentIndicator D

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.476

specialPaymentIndicator D

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.234

deviceCostToChargeRatio 0.491

specialPaymentIndicator D

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.234

deviceCostToChargeRatio 0.491

specialPaymentIndicator D

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.23

deviceCostToChargeRatio 0.504

specialPaymentIndicator D

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.23

deviceCostToChargeRatio 0.504

specialPaymentIndicator D

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.23

deviceCostToChargeRatio 0.504

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.494

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.215

deviceCostToChargeRatio 0.499

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.215

deviceCostToChargeRatio 0.499

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.215

deviceCostToChargeRatio 0.499

specialPaymentIndicator

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.215

deviceCostToChargeRatio 0.499

specialPaymentIndicator

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.506

specialPaymentIndicator

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.506

specialPaymentIndicator

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 17

operatingCostToChargeRatio 0.28

deviceCostToChargeRatio 0.578

specialPaymentIndicator

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 47460

providerType 07

operatingCostToChargeRatio 0.28

deviceCostToChargeRatio 0.578

specialPaymentIndicator

costOfLivingAdjustment 0.82

carrierCode 02402

localityCode 99

PROVIDENCE ST MARY MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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