CCN: 500041 NPI: 1073510277 Organization

PEACEHEALTH ST JOHN MEDICAL CENTER

1615 DELAWARE ST
LONGVIEW, WA 986322310

Contact Information

Phone 3604142000
Enumeration Date 2005-07-01
Last Updated 2022-12-06

Taxonomies

Code: 276400000X License State: WA License: H-026
Code: 282N00000X (Primary) License State: WA License: H-026

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.227

medicaidRatio 0.256

uncompensatedCareAmount 1384.03

vbpAdjustment 1.013790447

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.216

medicaidRatio 0.2755

uncompensatedCareAmount 1384.03

vbpAdjustment 1.013790447

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.216

medicaidRatio 0.2755

uncompensatedCareAmount 1033.7

vbpAdjustment 1.0137851978

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.216

medicaidRatio 0.2755

uncompensatedCareAmount 1033.7

vbpAdjustment 1.0137851978

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.222

medicaidRatio 0.2875

uncompensatedCareAmount 1033.7

vbpAdjustment 1.0137851978

hhrAdjustment 0.9998

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.222

medicaidRatio 0.2875

uncompensatedCareAmount 1057.68

vbpAdjustment 1.0144032187

hhrAdjustment 0.998

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.222

medicaidRatio 0.2875

uncompensatedCareAmount 1057.68

vbpAdjustment 1.0144032187

hhrAdjustment 0.998

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.281

medicaidRatio 0.2792

uncompensatedCareAmount 1057.68

vbpAdjustment 1.0144032187

hhrAdjustment 0.998

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.281

medicaidRatio 0.2792

uncompensatedCareAmount 903.09

hhrAdjustment 0.9981

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.281

medicaidRatio 0.2792

uncompensatedCareAmount 903.09

hhrAdjustment 0.9981

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.269

medicaidRatio 0.3185

uncompensatedCareAmount 903.09

hhrAdjustment 0.9981

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.269

medicaidRatio 0.3185

uncompensatedCareAmount 903.09

hhrAdjustment 0.9981

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.269

medicaidRatio 0.3185

uncompensatedCareAmount 835.64

hhrAdjustment 0.9964

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.276

medicaidRatio 0.2937

uncompensatedCareAmount 835.64

hhrAdjustment 0.9964

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.276

medicaidRatio 0.2937

uncompensatedCareAmount 835.64

hhrAdjustment 0.9964

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.276

medicaidRatio 0.2937

uncompensatedCareAmount 835.64

hhrAdjustment 0.9964

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.276

medicaidRatio 0.2937

uncompensatedCareAmount 780.42

vbpAdjustment 0.99603846

hhrAdjustment 0.996

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.269

medicaidRatio 0.3103

uncompensatedCareAmount 780.42

vbpAdjustment 0.99603846

hhrAdjustment 0.996

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.269

medicaidRatio 0.3103

uncompensatedCareAmount 755.44

vbpAdjustment 1.0001278709

hhrAdjustment 0.9938

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.269

medicaidRatio 0.3103

uncompensatedCareAmount 755.44

vbpAdjustment 1.0001278709

hhrAdjustment 0.9938

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.301

medicaidRatio 0.2899

uncompensatedCareAmount 755.44

vbpAdjustment 1.0001278709

hhrAdjustment 0.9938

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.301

medicaidRatio 0.2899

uncompensatedCareAmount 684.78

vbpAdjustment 0.9990567068

hhrAdjustment 0.9878

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.301

medicaidRatio 0.2899

uncompensatedCareAmount 684.78

vbpAdjustment 0.9990567068

hhrAdjustment 0.9878

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.301

medicaidRatio 0.2899

uncompensatedCareAmount 684.78

vbpAdjustment 0.9990567068

hhrAdjustment 0.9878

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.328

medicaidRatio 0.273

uncompensatedCareAmount 684.78

vbpAdjustment 0.9990567068

hhrAdjustment 0.9878

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.328

medicaidRatio 0.273

uncompensatedCareAmount 798.64

vbpAdjustment 1.0018881307

hhrAdjustment 0.9877

censusDivision 9

cbsaActualGeographicLocation 31020

providerType 17

caseMixIndex 1.2847

operatingCostToChargeRatio 0.328

medicaidRatio 0.273

uncompensatedCareAmount 798.64

vbpAdjustment 1.0018881307

hhrAdjustment 0.9877

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.194

deviceCostToChargeRatio 0.463

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.462

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.462

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.229

deviceCostToChargeRatio 0.553

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.229

deviceCostToChargeRatio 0.553

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 0.613

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 0.613

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.254

deviceCostToChargeRatio 0.639

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.254

deviceCostToChargeRatio 0.639

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.39

deviceCostToChargeRatio 0.548

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.39

deviceCostToChargeRatio 0.548

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.314

deviceCostToChargeRatio 0.298

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.314

deviceCostToChargeRatio 0.298

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.455

deviceCostToChargeRatio 0.329

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.455

deviceCostToChargeRatio 0.329

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.343

deviceCostToChargeRatio 0.278

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.343

deviceCostToChargeRatio 0.278

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 31020

providerType 17

operatingCostToChargeRatio 0.338

deviceCostToChargeRatio 1.092

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

PEACEHEALTH ST JOHN MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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