CCN: 520097 NPI: 1649246877 Organization

ST MARYS HOSPITAL MEDICAL CTR

1726 SHAWANO AVE
GREEN BAY, WI 543033216

Contact Information

Phone 9204984200
Enumeration Date 2006-02-27
Last Updated 2026-02-12

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.231

medicaidRatio 0.1198

uncompensatedCareAmount 871.55

vbpAdjustment 0.9951712211

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.231

medicaidRatio 0.1198

uncompensatedCareAmount 871.55

vbpAdjustment 0.9951712211

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.23

medicaidRatio 0.1257

uncompensatedCareAmount 871.55

vbpAdjustment 0.9951712211

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.23

medicaidRatio 0.1257

uncompensatedCareAmount 565.85

vbpAdjustment 1.004499862

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.23

medicaidRatio 0.1257

uncompensatedCareAmount 565.85

vbpAdjustment 1.004499862

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.225

medicaidRatio 0.1402

uncompensatedCareAmount 565.85

vbpAdjustment 1.004499862

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.225

medicaidRatio 0.1402

uncompensatedCareAmount 630.26

vbpAdjustment 1.0014723538

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.225

medicaidRatio 0.1402

uncompensatedCareAmount 630.26

vbpAdjustment 1.0014723538

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.274

medicaidRatio 0.1093

uncompensatedCareAmount 630.26

vbpAdjustment 1.0014723538

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.274

medicaidRatio 0.1093

uncompensatedCareAmount 604.21

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.274

medicaidRatio 0.1093

uncompensatedCareAmount 604.21

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.274

medicaidRatio 0.1093

uncompensatedCareAmount 604.21

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.25

medicaidRatio 0.123

uncompensatedCareAmount 604.21

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.25

medicaidRatio 0.123

uncompensatedCareAmount 650.84

hhrAdjustment 0.9925

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.282

medicaidRatio 0.1463

uncompensatedCareAmount 650.84

hhrAdjustment 0.9925

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.282

medicaidRatio 0.1463

uncompensatedCareAmount 650.84

hhrAdjustment 0.9925

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.282

medicaidRatio 0.1463

uncompensatedCareAmount 620.05

vbpAdjustment 0.9993530751

hhrAdjustment 0.9895

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.265

medicaidRatio 0.1421

uncompensatedCareAmount 620.05

vbpAdjustment 0.9993530751

hhrAdjustment 0.9895

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.265

medicaidRatio 0.1421

uncompensatedCareAmount 676.71

vbpAdjustment 1.0109641549

hhrAdjustment 0.9822

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.265

medicaidRatio 0.1421

uncompensatedCareAmount 676.71

vbpAdjustment 1.0109641549

hhrAdjustment 0.9822

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.251

medicaidRatio 0.1704

uncompensatedCareAmount 676.71

vbpAdjustment 1.0109641549

hhrAdjustment 0.9822

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.251

medicaidRatio 0.1704

uncompensatedCareAmount 639.6

vbpAdjustment 1.0039868001

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.251

medicaidRatio 0.1704

uncompensatedCareAmount 639.6

vbpAdjustment 1.0039868001

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.251

medicaidRatio 0.1704

uncompensatedCareAmount 639.6

vbpAdjustment 1.0039868001

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.296

medicaidRatio 0.1593

uncompensatedCareAmount 639.6

vbpAdjustment 1.0039868001

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.296

medicaidRatio 0.1593

uncompensatedCareAmount 465.7

vbpAdjustment 1.0083788563

hhrAdjustment 0.9936

censusDivision 4

cbsaActualGeographicLocation 24580

providerType 00

caseMixIndex 1.2967

operatingCostToChargeRatio 0.296

medicaidRatio 0.1593

uncompensatedCareAmount 465.7

vbpAdjustment 1.0083788563

hhrAdjustment 0.9936

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.161

deviceCostToChargeRatio 0.37

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.348

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.348

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.166

deviceCostToChargeRatio 0.334

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.166

deviceCostToChargeRatio 0.334

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.172

deviceCostToChargeRatio 0.391

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.172

deviceCostToChargeRatio 0.391

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.182

deviceCostToChargeRatio 0.398

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.182

deviceCostToChargeRatio 0.398

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.709

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.709

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.185

deviceCostToChargeRatio 0.697

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.185

deviceCostToChargeRatio 0.697

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.6

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.6

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.228

deviceCostToChargeRatio 0.702

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.228

deviceCostToChargeRatio 0.702

specialPaymentIndicator

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 24580

providerType 00

operatingCostToChargeRatio 0.229

deviceCostToChargeRatio 0.727

specialPaymentIndicator

carrierCode 06302

localityCode 00

ST MARYS HOSPITAL MEDICAL CTR

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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