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  • 535046
CCN: 535046 NPI: 1215064985 Organization

St John's Health Sage Living

625 E BROADWAY AVE BLDG B
JACKSON, WY 830018642

Contact Information

  • Phone 3077397450
  • Fax 3077397344
  • Enumeration Date 2007-02-28
  • Last Updated 2025-11-25

Taxonomies

  • Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 8
cbsaActualGeographicLocation 53
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 53
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 53
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 53
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 53
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 53
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 53
providerType 38
vbpAdjustment 1.0
censusDivision 0
cbsaActualGeographicLocation 53
providerType 38
vbpAdjustment 0.9952748574
censusDivision 0
cbsaActualGeographicLocation 53
providerType 38
vbpAdjustment 0.9851848191
censusDivision 0
cbsaActualGeographicLocation 53
providerType 38
vbpAdjustment 0.9851848191

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 53
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03602
localityCode 21
cbsaActualGeographicLocation 53
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03602
localityCode 21
cbsaActualGeographicLocation 53
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03602
localityCode 21
cbsaActualGeographicLocation 53
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03602
localityCode 21
cbsaActualGeographicLocation 53
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03602
localityCode 21
cbsaActualGeographicLocation 53
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03602
localityCode 21
cbsaActualGeographicLocation 53
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03602
localityCode 21
cbsaActualGeographicLocation 53
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03602
localityCode 21
cbsaActualGeographicLocation 53
providerType 38
operatingCostToChargeRatio 0.001
specialPaymentIndicator
carrierCode 03602
localityCode 21

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