CCN: 530015 NPI: 1801835475 Organization

ST JOHNS MEDICAL CENTER

625 E BROADWAY AVE
JACKSON, WY 830018642

Contact Information

Phone 3077333636
Fax 8772052024
Enumeration Date 2006-06-06
Last Updated 2025-11-25

Taxonomies

Code: 347C00000X
Code: 275N00000X License State: WY License: 15109
Code: 282N00000X (Primary) License State: WY License: 15109

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.554

vbpAdjustment 1.0278410666

hhrAdjustment 0.9993

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.542

vbpAdjustment 1.0278410666

hhrAdjustment 0.9993

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.542

uncompensatedCareAmount 1380.97

vbpAdjustment 1.0310134113

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.542

uncompensatedCareAmount 1380.97

vbpAdjustment 1.0310134113

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.566

uncompensatedCareAmount 1380.97

vbpAdjustment 1.0310134113

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.566

uncompensatedCareAmount 1460.51

vbpAdjustment 1.0192275782

hhrAdjustment 0.9972

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.566

uncompensatedCareAmount 1460.51

vbpAdjustment 1.0192275782

hhrAdjustment 0.9972

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.558

uncompensatedCareAmount 1460.51

vbpAdjustment 1.0192275782

hhrAdjustment 0.9972

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.558

uncompensatedCareAmount 1461.49

hhrAdjustment 0.9864

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.558

uncompensatedCareAmount 1461.49

hhrAdjustment 0.9864

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.553

uncompensatedCareAmount 1461.49

hhrAdjustment 0.9864

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.553

uncompensatedCareAmount 1461.49

hhrAdjustment 0.9864

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.553

uncompensatedCareAmount 1461.49

hhrAdjustment 0.9864

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.553

uncompensatedCareAmount 1461.49

hhrAdjustment 0.9864

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.553

uncompensatedCareAmount 1372.47

hhrAdjustment 0.9761

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.606

uncompensatedCareAmount 1372.47

hhrAdjustment 0.9761

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.606

uncompensatedCareAmount 1372.47

hhrAdjustment 0.9761

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.606

uncompensatedCareAmount 1372.47

hhrAdjustment 0.9761

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.606

uncompensatedCareAmount 1508.62

vbpAdjustment 1.0269392262

hhrAdjustment 0.9804

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.573

uncompensatedCareAmount 1508.62

vbpAdjustment 1.0269392262

hhrAdjustment 0.9804

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.573

uncompensatedCareAmount 1870.64

vbpAdjustment 1.0163237857

hhrAdjustment 0.97

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.573

uncompensatedCareAmount 1870.64

vbpAdjustment 1.0163237857

hhrAdjustment 0.97

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.608

uncompensatedCareAmount 1870.64

vbpAdjustment 1.0163237857

hhrAdjustment 0.97

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.571

uncompensatedCareAmount 1870.64

vbpAdjustment 1.0163237857

hhrAdjustment 0.97

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.571

uncompensatedCareAmount 1089.14

vbpAdjustment 1.0199621987

hhrAdjustment 0.9718

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.571

uncompensatedCareAmount 1089.14

vbpAdjustment 1.0199621987

hhrAdjustment 0.9718

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.571

uncompensatedCareAmount 1089.14

vbpAdjustment 1.0199621987

hhrAdjustment 0.9718

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.606

uncompensatedCareAmount 1089.14

vbpAdjustment 1.0199621987

hhrAdjustment 0.9718

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.606

vbpAdjustment 1.013052454

hhrAdjustment 0.9807

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.606

vbpAdjustment 1.013052454

hhrAdjustment 0.9807

censusDivision 8

cbsaActualGeographicLocation 53

providerType 16

caseMixIndex 0.994

operatingCostToChargeRatio 0.567

vbpAdjustment 1.013052454

hhrAdjustment 0.9807

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.39

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.384

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.384

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.43

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.43

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.424

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.424

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.423

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.423

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.461

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.461

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.442

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.442

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.445

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.458

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.458

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.471

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.471

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

cbsaActualGeographicLocation 53

providerType 16

operatingCostToChargeRatio 0.429

specialPaymentIndicator

costOfLivingAdjustment 0.757

carrierCode 03602

localityCode 21

ST JOHNS MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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