CCN: 520107 NPI: 1700998697 Organization

FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL

2300 WESTERN AVE
MANITOWOC, WI 542203712

Contact Information

Phone 9203202011
Fax 9203203500
Enumeration Date 2006-08-31
Last Updated 2025-12-18

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 52

providerType 00

caseMixIndex 1.2263

operatingCostToChargeRatio 0.384

medicaidRatio 0.0758

vbpAdjustment 1.0129284458

hhrAdjustment 0.998

censusDivision 4

cbsaActualGeographicLocation 52

providerType 00

caseMixIndex 1.2263

operatingCostToChargeRatio 0.384

medicaidRatio 0.0758

vbpAdjustment 1.0129284458

hhrAdjustment 0.998

censusDivision 4

cbsaActualGeographicLocation 52

providerType 00

caseMixIndex 1.2263

operatingCostToChargeRatio 0.376

medicaidRatio 0.1112

vbpAdjustment 1.0129284458

hhrAdjustment 0.998

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.376

medicaidRatio 0.1112

vbpAdjustment 1.0129284458

hhrAdjustment 0.998

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.376

medicaidRatio 0.1112

uncompensatedCareAmount 410.09

vbpAdjustment 1.0140089409

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.376

medicaidRatio 0.1112

uncompensatedCareAmount 410.09

vbpAdjustment 1.0140089409

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.416

medicaidRatio 0.1599

uncompensatedCareAmount 410.09

vbpAdjustment 1.0140089409

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.416

medicaidRatio 0.1599

uncompensatedCareAmount 457.01

hhrAdjustment 0.9935

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.416

medicaidRatio 0.1599

uncompensatedCareAmount 457.01

hhrAdjustment 0.9935

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.469

medicaidRatio 0.1247

uncompensatedCareAmount 457.01

hhrAdjustment 0.9935

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.469

medicaidRatio 0.1247

uncompensatedCareAmount 397.19

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.469

medicaidRatio 0.1247

uncompensatedCareAmount 397.19

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.469

medicaidRatio 0.1247

uncompensatedCareAmount 397.19

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.347

medicaidRatio 0.1251

uncompensatedCareAmount 397.19

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.347

medicaidRatio 0.1251

uncompensatedCareAmount 397.19

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.347

medicaidRatio 0.1251

uncompensatedCareAmount 350.91

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.347

medicaidRatio 0.1251

uncompensatedCareAmount 350.91

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.285

medicaidRatio 0.1272

uncompensatedCareAmount 350.91

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.285

medicaidRatio 0.1272

uncompensatedCareAmount 350.91

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.285

medicaidRatio 0.1272

uncompensatedCareAmount 353.0

vbpAdjustment 0.9956107677

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.294

medicaidRatio 0.1034

uncompensatedCareAmount 353.0

vbpAdjustment 0.9956107677

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.321

medicaidRatio 0.1153

uncompensatedCareAmount 353.0

vbpAdjustment 0.9956107677

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.321

medicaidRatio 0.1153

uncompensatedCareAmount 559.01

vbpAdjustment 0.9984895559

hhrAdjustment 0.9912

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.321

medicaidRatio 0.1153

uncompensatedCareAmount 559.01

vbpAdjustment 0.9984895559

hhrAdjustment 0.9912

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.321

medicaidRatio 0.1153

uncompensatedCareAmount 509.25

vbpAdjustment 1.0051008116

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.321

medicaidRatio 0.1153

uncompensatedCareAmount 509.25

vbpAdjustment 1.0051008116

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.304

medicaidRatio 0.1131

uncompensatedCareAmount 509.25

vbpAdjustment 1.0051008116

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.304

medicaidRatio 0.1131

uncompensatedCareAmount 509.25

vbpAdjustment 1.0051008116

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.304

medicaidRatio 0.1131

uncompensatedCareAmount 334.83

vbpAdjustment 1.0008143734

hhrAdjustment 0.9995

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.315

medicaidRatio 0.1341

uncompensatedCareAmount 334.83

vbpAdjustment 1.0008143734

hhrAdjustment 0.9995

censusDivision 4

cbsaActualGeographicLocation 52

providerType 14

caseMixIndex 1.2263

operatingCostToChargeRatio 0.315

medicaidRatio 0.1341

uncompensatedCareAmount 334.83

vbpAdjustment 1.0008143734

hhrAdjustment 0.9995

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 52

providerType 00

operatingCostToChargeRatio 0.316

deviceCostToChargeRatio 0.282

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 00

operatingCostToChargeRatio 0.326

deviceCostToChargeRatio 0.319

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.326

deviceCostToChargeRatio 0.319

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.326

deviceCostToChargeRatio 0.319

specialPaymentIndicator

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.287

deviceCostToChargeRatio 0.325

specialPaymentIndicator

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.287

deviceCostToChargeRatio 0.325

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.319

deviceCostToChargeRatio 0.382

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.319

deviceCostToChargeRatio 0.382

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.441

deviceCostToChargeRatio 0.319

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.441

deviceCostToChargeRatio 0.319

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.389

deviceCostToChargeRatio 0.317

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.389

deviceCostToChargeRatio 0.317

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.321

deviceCostToChargeRatio 0.464

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.321

deviceCostToChargeRatio 0.464

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.322

deviceCostToChargeRatio 0.458

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.322

deviceCostToChargeRatio 0.458

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.358

deviceCostToChargeRatio 0.453

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.358

deviceCostToChargeRatio 0.453

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 52

providerType 14

operatingCostToChargeRatio 0.381

deviceCostToChargeRatio 0.44

specialPaymentIndicator Y

costOfLivingAdjustment 0.809

carrierCode 06302

localityCode 00

FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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