CCN: 500033 NPI: 1902818883 Organization

SAMARITAN HOSPITAL

2000 S CLOVER DR
MOSES LAKE, WA 988374417

Contact Information

Phone 5097655606
Fax 5097643244
Enumeration Date 2006-08-12
Last Updated 2026-03-07

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.383

medicaidRatio 0.3108

uncompensatedCareAmount 835.73

vbpAdjustment 1.0089632403

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.383

medicaidRatio 0.3108

uncompensatedCareAmount 682.54

vbpAdjustment 0.9964078224

hhrAdjustment 0.9993

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.362

medicaidRatio 0.2857

uncompensatedCareAmount 682.54

vbpAdjustment 0.9964078224

hhrAdjustment 0.9993

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.362

medicaidRatio 0.2857

uncompensatedCareAmount 682.54

vbpAdjustment 0.9964078224

hhrAdjustment 0.9993

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.362

medicaidRatio 0.2857

uncompensatedCareAmount 682.54

vbpAdjustment 0.9964078224

hhrAdjustment 0.9993

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.373

medicaidRatio 0.1406

uncompensatedCareAmount 682.54

hhrAdjustment 0.9993

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.373

medicaidRatio 0.1406

uncompensatedCareAmount 548.51

vbpAdjustment 0.9978738562

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.373

medicaidRatio 0.1406

uncompensatedCareAmount 548.51

vbpAdjustment 0.9978738562

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.404

medicaidRatio 0.2466

uncompensatedCareAmount 548.51

vbpAdjustment 0.9978738562

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.404

medicaidRatio 0.2466

uncompensatedCareAmount 647.87

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.404

medicaidRatio 0.2466

uncompensatedCareAmount 647.87

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.404

medicaidRatio 0.2466

uncompensatedCareAmount 647.87

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.404

medicaidRatio 0.2466

uncompensatedCareAmount 647.87

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.374

medicaidRatio 0.2431

uncompensatedCareAmount 647.87

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.374

medicaidRatio 0.2431

uncompensatedCareAmount 273.87

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.374

medicaidRatio 0.2431

uncompensatedCareAmount 273.87

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.374

medicaidRatio 0.2431

uncompensatedCareAmount 273.87

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.361

medicaidRatio 0.372

uncompensatedCareAmount 273.87

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.361

medicaidRatio 0.372

uncompensatedCareAmount 945.9

vbpAdjustment 1.0174230733

hhrAdjustment 0.9967

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.368

medicaidRatio 0.3578

uncompensatedCareAmount 947.62

vbpAdjustment 1.0174230733

hhrAdjustment 0.9967

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.368

medicaidRatio 0.3578

uncompensatedCareAmount 977.3

vbpAdjustment 1.023111091

hhrAdjustment 0.9942

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.368

medicaidRatio 0.3578

uncompensatedCareAmount 977.3

vbpAdjustment 1.023111091

hhrAdjustment 0.9942

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.368

medicaidRatio 0.3578

uncompensatedCareAmount 1103.6

vbpAdjustment 1.0113582377

hhrAdjustment 0.9973

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.368

medicaidRatio 0.3578

uncompensatedCareAmount 1103.6

vbpAdjustment 1.0113582377

hhrAdjustment 0.9973

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.379

medicaidRatio 0.3781

uncompensatedCareAmount 1103.6

vbpAdjustment 1.0113582377

hhrAdjustment 0.9973

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.379

medicaidRatio 0.3781

uncompensatedCareAmount 1103.6

vbpAdjustment 1.0113582377

hhrAdjustment 0.9973

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.379

medicaidRatio 0.3781

uncompensatedCareAmount 926.89

vbpAdjustment 1.0104506573

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.371

medicaidRatio 0.4177

uncompensatedCareAmount 926.89

vbpAdjustment 1.0104506573

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 50

providerType 16

caseMixIndex 0.9881

operatingCostToChargeRatio 0.371

medicaidRatio 0.4177

uncompensatedCareAmount 926.89

vbpAdjustment 1.0104506573

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.171

deviceCostToChargeRatio 0.418

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.171

deviceCostToChargeRatio 0.418

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.193

deviceCostToChargeRatio 0.405

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.193

deviceCostToChargeRatio 0.405

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.193

deviceCostToChargeRatio 0.405

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.363

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.363

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.394

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.394

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.222

deviceCostToChargeRatio 0.638

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.222

deviceCostToChargeRatio 0.638

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.218

deviceCostToChargeRatio 0.449

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.218

deviceCostToChargeRatio 0.449

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.428

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.428

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.216

deviceCostToChargeRatio 0.508

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.216

deviceCostToChargeRatio 0.508

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 50

providerType 16

operatingCostToChargeRatio 0.228

deviceCostToChargeRatio 0.552

specialPaymentIndicator

costOfLivingAdjustment 0.83

carrierCode 02402

localityCode 99

SAMARITAN HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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