CCN: 500024 NPI: 1346250594 Organization

PROVIDENCE ST PETER HOSPITAL

413 LILLY RD NE
OLYMPIA, WA 985065133

Contact Information

Phone 3604919480
Enumeration Date 2006-08-09
Last Updated 2025-05-13

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.228

medicaidRatio 0.1962

uncompensatedCareAmount 446.3

internsToBedsRatio 0.0944

vbpAdjustment 1.00631977

hhrAdjustment 0.996

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.23

medicaidRatio 0.1962

uncompensatedCareAmount 446.3

internsToBedsRatio 0.0944

vbpAdjustment 1.00631977

hhrAdjustment 0.996

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.23

medicaidRatio 0.1962

uncompensatedCareAmount 377.91

internsToBedsRatio 0.0944

vbpAdjustment 1.0098324043

hhrAdjustment 0.9985

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.223

medicaidRatio 0.1913

uncompensatedCareAmount 377.91

internsToBedsRatio 0.1154

vbpAdjustment 1.0098324043

hhrAdjustment 0.9985

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.223

medicaidRatio 0.1913

uncompensatedCareAmount 377.91

internsToBedsRatio 0.1154

vbpAdjustment 1.0098324043

hhrAdjustment 0.9985

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.22

medicaidRatio 0.2043

uncompensatedCareAmount 377.91

internsToBedsRatio 0.1066

vbpAdjustment 1.0098324043

hhrAdjustment 0.9985

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.22

medicaidRatio 0.2043

uncompensatedCareAmount 398.77

internsToBedsRatio 0.1066

vbpAdjustment 1.012030583

hhrAdjustment 0.9997

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.22

medicaidRatio 0.2043

uncompensatedCareAmount 398.77

internsToBedsRatio 0.1066

vbpAdjustment 1.012030583

hhrAdjustment 0.9997

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.217

medicaidRatio 0.208

uncompensatedCareAmount 398.77

internsToBedsRatio 0.1032

vbpAdjustment 1.012030583

hhrAdjustment 0.9997

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.217

medicaidRatio 0.208

uncompensatedCareAmount 385.54

internsToBedsRatio 0.1032

hhrAdjustment 0.9986

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.217

medicaidRatio 0.208

uncompensatedCareAmount 385.54

internsToBedsRatio 0.1032

hhrAdjustment 0.9986

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.217

medicaidRatio 0.208

uncompensatedCareAmount 385.54

internsToBedsRatio 0.1032

hhrAdjustment 0.9986

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.217

medicaidRatio 0.208

uncompensatedCareAmount 356.54

internsToBedsRatio 0.1032

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.214

medicaidRatio 0.2026

uncompensatedCareAmount 356.54

internsToBedsRatio 0.0927

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.216

medicaidRatio 0.2026

uncompensatedCareAmount 356.54

internsToBedsRatio 0.0927

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.216

medicaidRatio 0.2026

uncompensatedCareAmount 356.54

internsToBedsRatio 0.0927

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.216

medicaidRatio 0.2026

uncompensatedCareAmount 356.54

internsToBedsRatio 0.0927

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.212

medicaidRatio 0.2037

uncompensatedCareAmount 356.54

internsToBedsRatio 0.0803

hhrAdjustment 0.9969

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.212

medicaidRatio 0.2037

uncompensatedCareAmount 385.4

internsToBedsRatio 0.0803

vbpAdjustment 1.0026142286

hhrAdjustment 0.9927

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.208

medicaidRatio 0.2098

uncompensatedCareAmount 386.1

internsToBedsRatio 0.0769

vbpAdjustment 1.0026142286

hhrAdjustment 0.9927

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.208

medicaidRatio 0.2098

uncompensatedCareAmount 293.65

internsToBedsRatio 0.0769

vbpAdjustment 0.9925916216

hhrAdjustment 0.9949

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 07

caseMixIndex 1.6274

operatingCostToChargeRatio 0.208

medicaidRatio 0.2098

uncompensatedCareAmount 293.65

internsToBedsRatio 0.0769

vbpAdjustment 0.9925916216

hhrAdjustment 0.9949

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 00

caseMixIndex 1.6274

operatingCostToChargeRatio 0.208

medicaidRatio 0.2098

uncompensatedCareAmount 293.65

internsToBedsRatio 0.0769

vbpAdjustment 0.9925916216

hhrAdjustment 0.9949

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 00

caseMixIndex 1.6274

operatingCostToChargeRatio 0.208

medicaidRatio 0.2098

uncompensatedCareAmount 511.16

internsToBedsRatio 0.0769

vbpAdjustment 0.9949561965

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 00

caseMixIndex 1.6274

operatingCostToChargeRatio 0.208

medicaidRatio 0.2098

uncompensatedCareAmount 511.16

internsToBedsRatio 0.0769

vbpAdjustment 0.9949561965

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 00

caseMixIndex 1.6274

operatingCostToChargeRatio 0.204

medicaidRatio 0.2078

uncompensatedCareAmount 511.16

internsToBedsRatio 0.0712

vbpAdjustment 0.9949561965

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 00

caseMixIndex 1.6274

operatingCostToChargeRatio 0.204

medicaidRatio 0.2078

uncompensatedCareAmount 511.16

internsToBedsRatio 0.0712

vbpAdjustment 0.9949561965

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 00

caseMixIndex 1.6274

operatingCostToChargeRatio 0.204

medicaidRatio 0.2078

uncompensatedCareAmount 551.74

internsToBedsRatio 0.0712

vbpAdjustment 0.9998782772

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 36500

providerType 00

caseMixIndex 1.6274

operatingCostToChargeRatio 0.209

medicaidRatio 0.2227

uncompensatedCareAmount 551.74

internsToBedsRatio 0.0628

vbpAdjustment 0.9998782772

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 36500

providerType 07

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.161

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 07

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.161

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 07

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.19

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 07

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.19

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 07

operatingCostToChargeRatio 0.184

deviceCostToChargeRatio 0.198

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 07

operatingCostToChargeRatio 0.184

deviceCostToChargeRatio 0.198

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 07

operatingCostToChargeRatio 0.162

deviceCostToChargeRatio 0.241

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 07

operatingCostToChargeRatio 0.162

deviceCostToChargeRatio 0.241

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 07

operatingCostToChargeRatio 0.164

deviceCostToChargeRatio 0.265

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 07

operatingCostToChargeRatio 0.164

deviceCostToChargeRatio 0.265

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 07

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.282

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 07

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.282

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 07

operatingCostToChargeRatio 0.157

deviceCostToChargeRatio 0.209

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 00

operatingCostToChargeRatio 0.157

deviceCostToChargeRatio 0.209

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 00

operatingCostToChargeRatio 0.157

deviceCostToChargeRatio 0.209

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 00

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.164

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 00

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.164

specialPaymentIndicator

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 36500

providerType 00

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.17

specialPaymentIndicator

carrierCode 02402

localityCode 99

PROVIDENCE ST PETER HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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