CCN: 500050 NPI: 1003194911 Organization

PEACEHEALTH SOUTHWEST MEDICAL CENTE

200 NE MOTHER JOSEPH PL STE 400
VANCOUVER, WA 986643290

Contact Information

Phone 3602562640
Enumeration Date 2011-07-26
Last Updated 2025-08-07

Taxonomies

Code: 207RC0000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.204

medicaidRatio 0.2254

uncompensatedCareAmount 1134.63

internsToBedsRatio 0.0451

vbpAdjustment 1.0048256346

hhrAdjustment 0.9979

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.201

medicaidRatio 0.2198

uncompensatedCareAmount 1134.63

internsToBedsRatio 0.0451

vbpAdjustment 1.0048256346

hhrAdjustment 0.9979

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.201

medicaidRatio 0.2198

uncompensatedCareAmount 876.73

internsToBedsRatio 0.0451

vbpAdjustment 1.0052083816

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.201

medicaidRatio 0.2198

uncompensatedCareAmount 876.73

internsToBedsRatio 0.0451

vbpAdjustment 1.0052083816

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.216

medicaidRatio 0.2326

uncompensatedCareAmount 876.73

internsToBedsRatio 0.0464

vbpAdjustment 1.0052083816

hhrAdjustment 0.9983

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.216

medicaidRatio 0.2326

uncompensatedCareAmount 1018.82

internsToBedsRatio 0.0464

vbpAdjustment 1.0106860894

hhrAdjustment 0.9994

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.216

medicaidRatio 0.2326

uncompensatedCareAmount 1018.82

internsToBedsRatio 0.0464

vbpAdjustment 1.0106860894

hhrAdjustment 0.9994

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.27

medicaidRatio 0.2239

uncompensatedCareAmount 1018.82

internsToBedsRatio 0.045

vbpAdjustment 1.0106860894

hhrAdjustment 0.9994

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.27

medicaidRatio 0.2239

uncompensatedCareAmount 884.99

internsToBedsRatio 0.045

hhrAdjustment 0.9979

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.29

medicaidRatio 0.2417

uncompensatedCareAmount 884.99

internsToBedsRatio 0.045

hhrAdjustment 0.9979

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.29

medicaidRatio 0.2417

uncompensatedCareAmount 884.99

internsToBedsRatio 0.045

hhrAdjustment 0.9979

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.29

medicaidRatio 0.2417

uncompensatedCareAmount 884.99

internsToBedsRatio 0.045

hhrAdjustment 0.9979

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.29

medicaidRatio 0.2417

uncompensatedCareAmount 817.49

internsToBedsRatio 0.045

hhrAdjustment 0.9982

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.29

medicaidRatio 0.2417

uncompensatedCareAmount 817.49

internsToBedsRatio 0.045

hhrAdjustment 0.9982

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.273

medicaidRatio 0.2375

uncompensatedCareAmount 817.49

internsToBedsRatio 0.0416

hhrAdjustment 0.9982

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.273

medicaidRatio 0.2375

uncompensatedCareAmount 817.49

internsToBedsRatio 0.0416

hhrAdjustment 0.9982

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.273

medicaidRatio 0.2375

uncompensatedCareAmount 817.49

internsToBedsRatio 0.0416

hhrAdjustment 0.9982

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.273

medicaidRatio 0.2375

uncompensatedCareAmount 604.97

internsToBedsRatio 0.0416

vbpAdjustment 1.004859613

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.272

medicaidRatio 0.2591

uncompensatedCareAmount 604.97

internsToBedsRatio 0.0416

vbpAdjustment 1.004859613

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.272

medicaidRatio 0.2591

uncompensatedCareAmount 649.02

internsToBedsRatio 0.0416

vbpAdjustment 1.0057215467

hhrAdjustment 0.9984

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.272

medicaidRatio 0.2591

uncompensatedCareAmount 649.02

internsToBedsRatio 0.0416

vbpAdjustment 1.0057215467

hhrAdjustment 0.9984

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.285

medicaidRatio 0.2612

uncompensatedCareAmount 649.02

internsToBedsRatio 0.046

vbpAdjustment 1.0057215467

hhrAdjustment 0.9984

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.285

medicaidRatio 0.2612

uncompensatedCareAmount 861.84

internsToBedsRatio 0.046

vbpAdjustment 1.0009054918

hhrAdjustment 0.9987

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.285

medicaidRatio 0.2612

uncompensatedCareAmount 861.84

internsToBedsRatio 0.046

vbpAdjustment 1.0009054918

hhrAdjustment 0.9987

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.285

medicaidRatio 0.2612

uncompensatedCareAmount 861.84

internsToBedsRatio 0.046

vbpAdjustment 1.0009054918

hhrAdjustment 0.9987

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.31

medicaidRatio 0.2527

uncompensatedCareAmount 861.84

internsToBedsRatio 0.0458

vbpAdjustment 1.0009054918

hhrAdjustment 0.9987

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.31

medicaidRatio 0.2527

uncompensatedCareAmount 727.34

internsToBedsRatio 0.0458

vbpAdjustment 0.9978684237

hhrAdjustment 0.9962

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.3888

operatingCostToChargeRatio 0.31

medicaidRatio 0.2527

uncompensatedCareAmount 727.34

internsToBedsRatio 0.0458

vbpAdjustment 0.9978684237

hhrAdjustment 0.9962

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.427

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.436

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.436

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.202

deviceCostToChargeRatio 0.488

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.202

deviceCostToChargeRatio 0.488

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.213

deviceCostToChargeRatio 0.552

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.213

deviceCostToChargeRatio 0.552

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.556

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.224

deviceCostToChargeRatio 0.556

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.266

deviceCostToChargeRatio 0.555

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.515

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.515

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.288

deviceCostToChargeRatio 0.342

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.288

deviceCostToChargeRatio 0.342

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 0.296

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 0.296

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.265

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.265

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.886

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02402

localityCode 99

PEACEHEALTH SOUTHWEST MEDICAL CENTE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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