CCN: 520049 NPI: 1891740585 Organization

BELLIN MEMORIAL HOSPITAL

744 S WEBSTER AVE
GREEN BAY, WI 543013505

Contact Information

Phone 9204333500
Enumeration Date 2006-05-23
Last Updated 2025-12-12

Taxonomies

Code: 273R00000X
Code: 261QR0207X
Code: 282N00000X (Primary) License State: WI License: 147

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 07

caseMixIndex 2.109

operatingCostToChargeRatio 0.317

medicaidRatio 0.2013

uncompensatedCareAmount 1058.97

vbpAdjustment 1.0077564386

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 07

caseMixIndex 2.109

operatingCostToChargeRatio 0.317

medicaidRatio 0.2013

uncompensatedCareAmount 1058.97

vbpAdjustment 1.0077564386

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 07

caseMixIndex 2.109

operatingCostToChargeRatio 0.341

medicaidRatio 0.1691

uncompensatedCareAmount 1058.97

vbpAdjustment 1.0077564386

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 07

caseMixIndex 2.109

operatingCostToChargeRatio 0.341

medicaidRatio 0.1691

uncompensatedCareAmount 813.53

vbpAdjustment 1.0106527954

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 07

caseMixIndex 2.109

operatingCostToChargeRatio 0.373

medicaidRatio 0.1554

uncompensatedCareAmount 813.53

vbpAdjustment 1.0106527954

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 07

caseMixIndex 2.109

operatingCostToChargeRatio 0.373

medicaidRatio 0.1554

uncompensatedCareAmount 813.53

vbpAdjustment 1.0106527954

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 07

caseMixIndex 2.109

operatingCostToChargeRatio 0.35

medicaidRatio 0.1554

uncompensatedCareAmount 806.13

vbpAdjustment 1.0108442651

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 07

caseMixIndex 2.109

operatingCostToChargeRatio 0.39

medicaidRatio 0.1948

uncompensatedCareAmount 806.13

vbpAdjustment 1.0108442651

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.39

medicaidRatio 0.1948

uncompensatedCareAmount 763.41

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.39

medicaidRatio 0.1948

uncompensatedCareAmount 763.41

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.37

medicaidRatio 0.2249

uncompensatedCareAmount 763.41

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.37

medicaidRatio 0.2249

uncompensatedCareAmount 763.41

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.37

medicaidRatio 0.2249

uncompensatedCareAmount 763.41

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.37

medicaidRatio 0.2249

uncompensatedCareAmount 674.09

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.36

medicaidRatio 0.1909

uncompensatedCareAmount 674.09

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.36

medicaidRatio 0.1909

uncompensatedCareAmount 674.09

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.36

medicaidRatio 0.1909

uncompensatedCareAmount 674.09

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.36

medicaidRatio 0.1909

uncompensatedCareAmount 674.09

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.36

medicaidRatio 0.1909

uncompensatedCareAmount 891.33

vbpAdjustment 1.010473074

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.337

medicaidRatio 0.1972

uncompensatedCareAmount 891.33

vbpAdjustment 1.010473074

hhrAdjustment 0.9998

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.337

medicaidRatio 0.1972

uncompensatedCareAmount 819.52

vbpAdjustment 1.0075236933

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.358

medicaidRatio 0.1821

uncompensatedCareAmount 819.52

vbpAdjustment 1.0075236933

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.358

medicaidRatio 0.1821

uncompensatedCareAmount 819.52

vbpAdjustment 1.0075236933

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.358

medicaidRatio 0.1821

uncompensatedCareAmount 697.25

vbpAdjustment 1.0020906104

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.358

medicaidRatio 0.1821

uncompensatedCareAmount 697.25

vbpAdjustment 1.0020906104

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.347

medicaidRatio 0.1761

uncompensatedCareAmount 697.25

vbpAdjustment 1.0020906104

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.347

medicaidRatio 0.1761

uncompensatedCareAmount 697.25

vbpAdjustment 1.0020906104

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.347

medicaidRatio 0.1761

uncompensatedCareAmount 471.42

vbpAdjustment 1.0041182421

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 2.109

operatingCostToChargeRatio 0.352

medicaidRatio 0.1612

uncompensatedCareAmount 471.42

vbpAdjustment 1.0041182421

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 24580

providerType 07

operatingCostToChargeRatio 0.238

deviceCostToChargeRatio 0.644

specialPaymentIndicator D

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 07

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.623

specialPaymentIndicator D

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 07

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.623

specialPaymentIndicator D

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 07

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.625

specialPaymentIndicator D

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 07

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.625

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 07

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.615

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 07

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.615

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.615

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.615

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.28

deviceCostToChargeRatio 0.649

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.28

deviceCostToChargeRatio 0.649

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.293

deviceCostToChargeRatio 0.637

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.293

deviceCostToChargeRatio 0.637

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.285

deviceCostToChargeRatio 0.631

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.285

deviceCostToChargeRatio 0.631

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.307

deviceCostToChargeRatio 0.634

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.307

deviceCostToChargeRatio 0.634

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.312

deviceCostToChargeRatio 0.622

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.312

deviceCostToChargeRatio 0.622

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.304

deviceCostToChargeRatio 0.634

specialPaymentIndicator

carrierCode 06302

localityCode 00

BELLIN MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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