CCN: 500077 NPI: 1225289895 Organization

PROVIDENCE HOLY FAMILY HOSPITAL

5633 N LIDGERWOOD ST
SPOKANE, WA 992081224

Contact Information

Phone 5094820111
Fax 5094823052
Enumeration Date 2008-10-01
Last Updated 2025-05-07

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.255

medicaidRatio 0.2498

uncompensatedCareAmount 555.88

vbpAdjustment 0.9984180923

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.255

medicaidRatio 0.2498

uncompensatedCareAmount 468.35

vbpAdjustment 0.9943195541

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.25

medicaidRatio 0.2742

uncompensatedCareAmount 468.35

vbpAdjustment 0.9943195541

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.25

medicaidRatio 0.2742

uncompensatedCareAmount 468.35

vbpAdjustment 0.9943195541

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.254

medicaidRatio 0.2697

uncompensatedCareAmount 468.35

vbpAdjustment 0.9943195541

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.254

medicaidRatio 0.2697

uncompensatedCareAmount 498.36

vbpAdjustment 1.0101324744

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.254

medicaidRatio 0.2697

uncompensatedCareAmount 498.36

vbpAdjustment 1.0101324744

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.282

medicaidRatio 0.2454

uncompensatedCareAmount 498.36

vbpAdjustment 1.0101324744

hhrAdjustment 0.9996

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.282

medicaidRatio 0.2454

uncompensatedCareAmount 461.11

hhrAdjustment 0.997

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.282

medicaidRatio 0.2454

uncompensatedCareAmount 461.11

hhrAdjustment 0.997

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.282

medicaidRatio 0.2454

uncompensatedCareAmount 461.11

hhrAdjustment 0.997

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.303

medicaidRatio 0.2599

uncompensatedCareAmount 461.11

hhrAdjustment 0.997

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.303

medicaidRatio 0.2599

uncompensatedCareAmount 405.27

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.303

medicaidRatio 0.2599

uncompensatedCareAmount 405.27

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.303

medicaidRatio 0.2599

uncompensatedCareAmount 405.27

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.298

medicaidRatio 0.2633

uncompensatedCareAmount 405.27

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.0854

operatingCostToChargeRatio 0.298

medicaidRatio 0.2633

uncompensatedCareAmount 432.55

vbpAdjustment 0.9939534602

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 07

caseMixIndex 1.0854

operatingCostToChargeRatio 0.308

medicaidRatio 0.2846

uncompensatedCareAmount 432.55

vbpAdjustment 0.9939534602

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.308

medicaidRatio 0.2846

uncompensatedCareAmount 432.55

vbpAdjustment 0.9939534602

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.308

medicaidRatio 0.2846

uncompensatedCareAmount 432.55

vbpAdjustment 0.9939534602

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.308

medicaidRatio 0.2846

uncompensatedCareAmount 363.3

vbpAdjustment 0.9961022967

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.308

medicaidRatio 0.2846

uncompensatedCareAmount 363.3

vbpAdjustment 0.9961022967

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.308

medicaidRatio 0.2846

uncompensatedCareAmount 606.51

vbpAdjustment 0.994600661

hhrAdjustment 0.9955

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.308

medicaidRatio 0.2846

uncompensatedCareAmount 606.51

vbpAdjustment 0.994600661

hhrAdjustment 0.9955

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.3

medicaidRatio 0.288

uncompensatedCareAmount 606.51

vbpAdjustment 0.994600661

hhrAdjustment 0.9955

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.3

medicaidRatio 0.288

uncompensatedCareAmount 606.51

vbpAdjustment 0.994600661

hhrAdjustment 0.9955

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.3

medicaidRatio 0.288

uncompensatedCareAmount 553.86

vbpAdjustment 0.9924376894

hhrAdjustment 0.9964

censusDivision 9

cbsaActualGeographicLocation 44060

providerType 00

caseMixIndex 1.0854

operatingCostToChargeRatio 0.31

medicaidRatio 0.2995

uncompensatedCareAmount 553.86

vbpAdjustment 0.9924376894

hhrAdjustment 0.9964

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.177

deviceCostToChargeRatio 0.324

specialPaymentIndicator

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.177

deviceCostToChargeRatio 0.324

specialPaymentIndicator

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.353

specialPaymentIndicator

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.353

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.362

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.362

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.36

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.36

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.395

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.395

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.208

deviceCostToChargeRatio 0.389

specialPaymentIndicator D

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 07

operatingCostToChargeRatio 0.208

deviceCostToChargeRatio 0.389

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 07

operatingCostToChargeRatio 0.229

deviceCostToChargeRatio 0.432

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.229

deviceCostToChargeRatio 0.432

specialPaymentIndicator Y

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.229

deviceCostToChargeRatio 0.432

specialPaymentIndicator

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.229

deviceCostToChargeRatio 0.432

specialPaymentIndicator

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.22

deviceCostToChargeRatio 0.438

specialPaymentIndicator

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.22

deviceCostToChargeRatio 0.438

specialPaymentIndicator

carrierCode 02402

localityCode 99

cbsaActualGeographicLocation 44060

providerType 00

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.406

specialPaymentIndicator

carrierCode 02402

localityCode 99

PROVIDENCE HOLY FAMILY HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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