CCN: 500124 NPI: 1033174933 Organization

EVERGREENHEALTH MEDICAL CENTER

12040 NE 128TH ST
KIRKLAND, WA 980343013

Contact Information

Phone 4258991000
Enumeration Date 2006-04-20
Last Updated 2024-11-06

Taxonomies

Code: 282N00000X (Primary) License State: WA License: H164

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.275

medicaidRatio 0.1338

uncompensatedCareAmount 683.02

vbpAdjustment 1.0055152355

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.288

medicaidRatio 0.1475

uncompensatedCareAmount 683.02

vbpAdjustment 1.0055152355

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.288

medicaidRatio 0.1475

uncompensatedCareAmount 486.51

vbpAdjustment 1.001255588

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.288

medicaidRatio 0.1475

uncompensatedCareAmount 486.51

vbpAdjustment 1.001255588

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.301

medicaidRatio 0.1537

uncompensatedCareAmount 486.51

vbpAdjustment 1.001255588

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.301

medicaidRatio 0.1537

uncompensatedCareAmount 504.03

vbpAdjustment 1.0094206836

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.301

medicaidRatio 0.1537

uncompensatedCareAmount 504.03

vbpAdjustment 1.0094206836

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.271

medicaidRatio 0.1473

uncompensatedCareAmount 504.03

vbpAdjustment 1.0094206836

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.271

medicaidRatio 0.1473

uncompensatedCareAmount 514.49

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.271

medicaidRatio 0.1473

uncompensatedCareAmount 514.49

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.271

medicaidRatio 0.1473

uncompensatedCareAmount 514.49

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.271

medicaidRatio 0.1473

uncompensatedCareAmount 534.36

hhrAdjustment 0.9999

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.268

medicaidRatio 0.1625

uncompensatedCareAmount 534.36

hhrAdjustment 0.9999

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.268

medicaidRatio 0.1625

uncompensatedCareAmount 534.36

hhrAdjustment 0.9999

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.268

medicaidRatio 0.1625

uncompensatedCareAmount 534.36

hhrAdjustment 0.9999

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.247

medicaidRatio 0.1453

uncompensatedCareAmount 534.36

hhrAdjustment 0.9999

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.247

medicaidRatio 0.1453

uncompensatedCareAmount 652.01

vbpAdjustment 1.000048075

hhrAdjustment 0.9992

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.242

medicaidRatio 0.1562

uncompensatedCareAmount 652.01

vbpAdjustment 1.000048075

hhrAdjustment 0.9992

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.242

medicaidRatio 0.1562

uncompensatedCareAmount 653.33

vbpAdjustment 1.0053704792

hhrAdjustment 0.9988

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.242

medicaidRatio 0.1562

uncompensatedCareAmount 653.33

vbpAdjustment 1.0053704792

hhrAdjustment 0.9988

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.242

medicaidRatio 0.1562

uncompensatedCareAmount 567.53

vbpAdjustment 1.001426944

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.242

medicaidRatio 0.1562

uncompensatedCareAmount 567.53

vbpAdjustment 1.001426944

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.244

medicaidRatio 0.1728

uncompensatedCareAmount 567.53

vbpAdjustment 1.001426944

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.244

medicaidRatio 0.1728

uncompensatedCareAmount 567.53

vbpAdjustment 1.001426944

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.244

medicaidRatio 0.1728

uncompensatedCareAmount 520.56

vbpAdjustment 1.0023011143

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 42644

providerType 00

caseMixIndex 1.1361

operatingCostToChargeRatio 0.25

medicaidRatio 0.1655

uncompensatedCareAmount 520.56

vbpAdjustment 1.0023011143

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.264

deviceCostToChargeRatio 0.358

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.264

deviceCostToChargeRatio 0.358

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 0.346

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.265

deviceCostToChargeRatio 0.346

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.253

deviceCostToChargeRatio 0.317

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.253

deviceCostToChargeRatio 0.317

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.24

deviceCostToChargeRatio 0.332

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.24

deviceCostToChargeRatio 0.332

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.24

deviceCostToChargeRatio 0.423

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.24

deviceCostToChargeRatio 0.423

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.238

deviceCostToChargeRatio 0.35

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.246

deviceCostToChargeRatio 0.307

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.246

deviceCostToChargeRatio 0.307

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.246

deviceCostToChargeRatio 0.307

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.234

deviceCostToChargeRatio 0.345

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.234

deviceCostToChargeRatio 0.345

specialPaymentIndicator

carrierCode 02402

localityCode 02

cbsaActualGeographicLocation 42644

providerType 00

operatingCostToChargeRatio 0.254

deviceCostToChargeRatio 0.351

specialPaymentIndicator

carrierCode 02402

localityCode 02

EVERGREENHEALTH MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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