CCN: 500054 NPI: 1144471715 Organization

PROV SACRED HRT MED CTR & CHILDS HOSP.

101 W 8TH AVE
SPOKANE, WA 99204

Contact Information

Phone 5094743131
Enumeration Date 2008-10-01
Last Updated 2025-05-07

Taxonomies

Code: 273R00000X License State: WA License: HAC.FS.00000162
Code: 282N00000X (Primary) License State: WA

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.269

medicaidRatio 0.3632

uncompensatedCareAmount 564.14

internsToBedsRatio 0.1047

vbpAdjustment 0.9923553505

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.269

medicaidRatio 0.3632

uncompensatedCareAmount 564.14

internsToBedsRatio 0.1047

vbpAdjustment 0.9923553505

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.273

medicaidRatio 0.3972

uncompensatedCareAmount 564.14

internsToBedsRatio 0.1039

vbpAdjustment 0.9923553505

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.273

medicaidRatio 0.3972

uncompensatedCareAmount 422.35

internsToBedsRatio 0.1039

vbpAdjustment 0.9932008389

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.273

medicaidRatio 0.3972

uncompensatedCareAmount 422.35

internsToBedsRatio 0.1039

vbpAdjustment 0.9932008389

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.29

medicaidRatio 0.3907

uncompensatedCareAmount 422.35

internsToBedsRatio 0.1062

vbpAdjustment 0.9932008389

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.29

medicaidRatio 0.3907

uncompensatedCareAmount 406.32

internsToBedsRatio 0.1062

vbpAdjustment 0.9947894297

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.29

medicaidRatio 0.3907

uncompensatedCareAmount 406.32

internsToBedsRatio 0.1062

vbpAdjustment 0.9947894297

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.29

medicaidRatio 0.3907

uncompensatedCareAmount 406.32

internsToBedsRatio 0.1062

vbpAdjustment 0.9947894297

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.278

medicaidRatio 0.3476

uncompensatedCareAmount 406.32

internsToBedsRatio 0.0888

vbpAdjustment 0.9947894297

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.278

medicaidRatio 0.3476

uncompensatedCareAmount 374.72

internsToBedsRatio 0.0888

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.278

medicaidRatio 0.3476

uncompensatedCareAmount 374.72

internsToBedsRatio 0.0888

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.278

medicaidRatio 0.3476

uncompensatedCareAmount 374.72

internsToBedsRatio 0.0888

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.287

medicaidRatio 0.3534

uncompensatedCareAmount 374.72

internsToBedsRatio 0.0778

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.287

medicaidRatio 0.3534

uncompensatedCareAmount 333.84

internsToBedsRatio 0.0778

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.287

medicaidRatio 0.3534

uncompensatedCareAmount 333.84

internsToBedsRatio 0.0778

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.287

medicaidRatio 0.3534

uncompensatedCareAmount 333.84

internsToBedsRatio 0.0778

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.284

medicaidRatio 0.3602

uncompensatedCareAmount 333.84

internsToBedsRatio 0.0754

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.284

medicaidRatio 0.3602

uncompensatedCareAmount 333.84

internsToBedsRatio 0.0754

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.284

medicaidRatio 0.3602

uncompensatedCareAmount 358.81

internsToBedsRatio 0.0754

vbpAdjustment 1.0013311518

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.1854

operatingCostToChargeRatio 0.307

medicaidRatio 0.3621

uncompensatedCareAmount 358.81

internsToBedsRatio 0.0751

vbpAdjustment 1.0013311518

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.307

medicaidRatio 0.3621

uncompensatedCareAmount 358.81

internsToBedsRatio 0.0751

vbpAdjustment 1.0013311518

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.307

medicaidRatio 0.3621

uncompensatedCareAmount 358.81

internsToBedsRatio 0.0751

vbpAdjustment 1.0013311518

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.307

medicaidRatio 0.3621

uncompensatedCareAmount 398.59

internsToBedsRatio 0.0751

vbpAdjustment 0.9974831623

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.307

medicaidRatio 0.3621

uncompensatedCareAmount 398.59

internsToBedsRatio 0.0751

vbpAdjustment 0.9974831623

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.307

medicaidRatio 0.3621

uncompensatedCareAmount 638.19

internsToBedsRatio 0.0751

vbpAdjustment 0.9917563764

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.307

medicaidRatio 0.3621

uncompensatedCareAmount 638.19

internsToBedsRatio 0.0751

vbpAdjustment 0.9917563764

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.278

medicaidRatio 0.3526

uncompensatedCareAmount 638.19

internsToBedsRatio 0.0918

vbpAdjustment 0.9917563764

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.278

medicaidRatio 0.3526

uncompensatedCareAmount 638.19

internsToBedsRatio 0.0918

vbpAdjustment 0.9917563764

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.278

medicaidRatio 0.3526

uncompensatedCareAmount 788.61

internsToBedsRatio 0.0918

vbpAdjustment 0.9932223582

hhrAdjustment 0.9997

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.1854

operatingCostToChargeRatio 0.291

medicaidRatio 0.3498

uncompensatedCareAmount 788.61

internsToBedsRatio 0.0919

vbpAdjustment 0.9932223582

hhrAdjustment 0.9997

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 44060

providerType 07

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.299

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.299

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.316

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 07

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.316

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 07

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.316

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 07

operatingCostToChargeRatio 0.228

deviceCostToChargeRatio 0.383

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.228

deviceCostToChargeRatio 0.383

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.432

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 07

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.432

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 07

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.432

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 07

operatingCostToChargeRatio 0.244

deviceCostToChargeRatio 0.436

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 07

operatingCostToChargeRatio 0.244

deviceCostToChargeRatio 0.436

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 07

operatingCostToChargeRatio 0.234

deviceCostToChargeRatio 0.443

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 07

operatingCostToChargeRatio 0.251

deviceCostToChargeRatio 0.45

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.251

deviceCostToChargeRatio 0.45

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.251

deviceCostToChargeRatio 0.45

specialPaymentIndicator

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.251

deviceCostToChargeRatio 0.45

specialPaymentIndicator

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.241

deviceCostToChargeRatio 0.444

specialPaymentIndicator

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.241

deviceCostToChargeRatio 0.444

specialPaymentIndicator

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.249

deviceCostToChargeRatio 0.458

specialPaymentIndicator

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.223

specialPaymentIndicator

carrierCode 02402

localityCode 99

PROV SACRED HRT MED CTR & CHILDS HOSP.

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

Supercharge Your Revenue Cycle Analytics