CCN: 520044 NPI: 1730184342 Organization

ST NICHOLAS HOSPITAL

3100 SUPERIOR AVE
SHEBOYGAN, WI 530811948

Contact Information

Phone 9204598300
Fax 9204528336
Enumeration Date 2005-06-20
Last Updated 2026-02-12

Taxonomies

Code: 282N00000X (Primary) License State: WI License: 37

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.269

medicaidRatio 0.126

uncompensatedCareAmount 986.01

vbpAdjustment 1.0079288389

hhrAdjustment 0.9992

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.269

medicaidRatio 0.126

uncompensatedCareAmount 986.01

vbpAdjustment 1.0079288389

hhrAdjustment 0.9992

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.247

medicaidRatio 0.1251

uncompensatedCareAmount 986.01

vbpAdjustment 1.0079288389

hhrAdjustment 0.9992

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.247

medicaidRatio 0.1251

uncompensatedCareAmount 986.01

vbpAdjustment 1.0079288389

hhrAdjustment 0.9992

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.247

medicaidRatio 0.1251

uncompensatedCareAmount 626.19

vbpAdjustment 1.0131139688

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.247

medicaidRatio 0.1251

uncompensatedCareAmount 626.19

vbpAdjustment 1.0131139688

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.233

medicaidRatio 0.1334

uncompensatedCareAmount 626.19

vbpAdjustment 1.0131139688

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.233

medicaidRatio 0.1334

uncompensatedCareAmount 635.47

vbpAdjustment 0.9866433802

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.233

medicaidRatio 0.1334

uncompensatedCareAmount 635.47

vbpAdjustment 0.9866433802

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.262

medicaidRatio 0.1357

uncompensatedCareAmount 635.47

vbpAdjustment 0.9866433802

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.262

medicaidRatio 0.1357

uncompensatedCareAmount 566.22

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.262

medicaidRatio 0.1357

uncompensatedCareAmount 566.22

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.262

medicaidRatio 0.1357

uncompensatedCareAmount 566.22

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.268

medicaidRatio 0.1106

uncompensatedCareAmount 566.22

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.268

medicaidRatio 0.1106

hhrAdjustment 0.9952

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.288

medicaidRatio 0.1275

hhrAdjustment 0.9952

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.288

medicaidRatio 0.1275

hhrAdjustment 0.9952

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.288

medicaidRatio 0.1275

vbpAdjustment 1.0034161516

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.299

medicaidRatio 0.109

vbpAdjustment 1.0034161516

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.299

medicaidRatio 0.109

uncompensatedCareAmount 548.18

vbpAdjustment 1.000923624

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.299

medicaidRatio 0.109

uncompensatedCareAmount 548.18

vbpAdjustment 1.000923624

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.274

medicaidRatio 0.1301

uncompensatedCareAmount 548.18

vbpAdjustment 1.000923624

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.274

medicaidRatio 0.1301

uncompensatedCareAmount 468.06

vbpAdjustment 1.0038445859

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.274

medicaidRatio 0.1301

uncompensatedCareAmount 468.06

vbpAdjustment 1.0038445859

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.274

medicaidRatio 0.1301

uncompensatedCareAmount 468.06

vbpAdjustment 1.0038445859

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.336

medicaidRatio 0.1161

uncompensatedCareAmount 468.06

vbpAdjustment 1.0038445859

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.336

medicaidRatio 0.1161

uncompensatedCareAmount 339.7

vbpAdjustment 1.0102820223

hhrAdjustment 0.9918

censusDivision 4

cbsaActualGeographicLocation 43100

providerType 00

caseMixIndex 1.4397

operatingCostToChargeRatio 0.336

medicaidRatio 0.1161

uncompensatedCareAmount 339.7

vbpAdjustment 1.0102820223

hhrAdjustment 0.9918

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.159

deviceCostToChargeRatio 0.215

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.162

deviceCostToChargeRatio 0.274

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.162

deviceCostToChargeRatio 0.274

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.251

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.251

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.177

deviceCostToChargeRatio 0.228

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.177

deviceCostToChargeRatio 0.228

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.182

deviceCostToChargeRatio 0.244

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.182

deviceCostToChargeRatio 0.244

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.715

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.715

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.214

deviceCostToChargeRatio 0.706

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.214

deviceCostToChargeRatio 0.706

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.651

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.651

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.246

deviceCostToChargeRatio 0.737

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.246

deviceCostToChargeRatio 0.737

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 43100

providerType 00

operatingCostToChargeRatio 0.23

deviceCostToChargeRatio 0.7

specialPaymentIndicator

carrierCode 06302

localityCode 00

ST NICHOLAS HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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