Crystal Report Viewer

Line‎

Line Description‎

Prior Year Value‎

Type‎

Current Year Value‎

Type‎

POS Field‎

POS Hospital Compare Report

100001

SHANDS JACKSONVILLE

A

JACKSONVILLE, FL 32209

00090

Old Provider Number for this Provider

100170

CODE

100170

CODE

PROV0300

00100

Current FMS Survey Date

DATE

PROV0500

00110

Official Survey Date

02/26/1991

DATE

02/26/1991

DATE

PROV2740

00120

Eligibility for Medicare/Mediciad

Yes

PROV0455

00140

Intermediary/Carrier Servicing Provider

Blue Cross (Florida)

PROV0605

00150

Medicare/Medicaid Vendor Number

CODE

PROV0655

00160

Date Approved for Medicare/Medicaid

07/01/1966

DATE

07/01/1966

DATE

PROV1565

00170

Date of Prior Change in Ownership

DATE

PROV1615

00180

Prior Intermediary Number

CODE

PROV1620

00190

Provider Number

100001

CODE

100001

CODE

PROV1680

00200

Current Status of Record

Accepted

PROV1720

00290

Termination Date/Expriation Date

DATE

PROV4500

00370

Accreditation Effective Date

06/21/2003

DATE

06/21/2003

DATE

PROV0000

00380

Accreditation Expiration Date

06/20/2006

DATE

06/20/2006

DATE

PROV0005

00400

Beds - Total

696

BEDS

696

BEDS

PROV0740

00410

Beds - Total Certified

696

BEDS

696

BEDS

PROV0755

00550

Date of Validation Survey

02/26/1991

DATE

02/26/1991

DATE

PROV0450

00690

Psychiatric Unit Beds

000

BEDS

000

BEDS

PROV1690

00700

Psychiatric Unit Effective Date

DATE

PROV1695

00730

Psychiatric Unit Termination Date

DATE

PROV1710

00810

Rehabilitation Unit Beds

0

BEDS

0

BEDS

PROV1730

00820

Rehabilitation unit Effective Date

DATE

PROV1735

00850

Rehabilitation Unit Termination Date

DATE

PROV1750

100002

BETHESDA MEMORIAL HOSPITAL

A

BOYNTON BEACH, FL 33435

00090

Old Provider Number for this Provider

CODE

PROV0300

00100

Current FMS Survey Date

DATE

PROV0500

00110

Official Survey Date

12/07/1994

DATE

12/07/1994

DATE

PROV2740

00120

Eligibility for Medicare/Mediciad

Yes

PROV0455

00140

Intermediary/Carrier Servicing Provider

Blue Cross (Florida)

PROV0605

00150

Medicare/Medicaid Vendor Number

10140100

CODE

10140100

CODE

PROV0655

00160

Date Approved for Medicare/Medicaid

07/01/1966

DATE

07/01/1966

DATE

PROV1565

00170

Date of Prior Change in Ownership

10/01/1984

DATE

10/01/1984

DATE

PROV1615

00180

Prior Intermediary Number

CODE

PROV1620

00190

Provider Number

100002

CODE

100002

CODE

PROV1680

00200

Current Status of Record

Accepted

PROV1720

00290

Termination Date/Expriation Date

DATE

PROV4500

00370

Accreditation Effective Date

08/09/2003

DATE

06/24/2006

DATE

PROV0000

00380

Accreditation Expiration Date

08/08/2006

DATE

06/23/2009

DATE

PROV0005

00400

Beds - Total

362

BEDS

362

BEDS

PROV0740

00410

Beds - Total Certified

362

BEDS

362

BEDS

PROV0755

00550

Date of Validation Survey

DATE

PROV0450

00690

Psychiatric Unit Beds

020

BEDS

020

BEDS

PROV1690

00700

Psychiatric Unit Effective Date

10/01/1989

DATE

10/01/1989

DATE

PROV1695

00730

Psychiatric Unit Termination Date

01/25/2000

DATE

01/25/2000

DATE

PROV1710

00810

Rehabilitation Unit Beds

28

BEDS

28

BEDS

PROV1730

00820

Rehabilitation unit Effective Date

10/01/2005

DATE

10/01/2005

DATE

PROV1735

00850

Rehabilitation Unit Termination Date

DATE

PROV1750

100006

ORLANDO REGIONAL HEALTHCARE

A

ORLANDO, FL 32806

00090

Old Provider Number for this Provider

CODE

PROV0300

00100

Current FMS Survey Date

DATE

PROV0500

00110

Official Survey Date

09/25/2000

DATE

09/25/2000

DATE

PROV2740

00120

Eligibility for Medicare/Mediciad

Yes

PROV0455

00140

Intermediary/Carrier Servicing Provider

Blue Cross (Florida)

PROV0605

00150

Medicare/Medicaid Vendor Number

10133800

CODE

10133800

CODE

PROV0655

00160

Date Approved for Medicare/Medicaid

10/01/1977

DATE

10/01/1977

DATE

PROV1565

00170

Date of Prior Change in Ownership

DATE

PROV1615

00180

Prior Intermediary Number

CODE

PROV1620

00190

Provider Number

100006

CODE

100006

CODE

PROV1680

00200

Current Status of Record

Accepted

PROV1720

00290

Termination Date/Expriation Date

DATE

PROV4500

00370

Accreditation Effective Date

10/01/2005

DATE

10/01/2005

DATE

PROV0000

00380

Accreditation Expiration Date

10/01/2008

DATE

10/01/2008

DATE

PROV0005

00400

Beds - Total

1592

BEDS

1600

BEDS

PROV0740

00410

Beds - Total Certified

1592

BEDS

1600

BEDS

PROV0755

00550

Date of Validation Survey

07/10/1990

DATE

07/10/1990

DATE

PROV0450

00690

Psychiatric Unit Beds

064

BEDS

064

BEDS

PROV1690

00700

Psychiatric Unit Effective Date

10/01/1987

DATE

10/01/1987

DATE

PROV1695

00730

Psychiatric Unit Termination Date

DATE

PROV1710

00810

Rehabilitation Unit Beds

35

BEDS

35

BEDS

PROV1730

00820

Rehabilitation unit Effective Date

10/01/1999

DATE

10/01/1999

DATE

PROV1735

00850

Rehabilitation Unit Termination Date

DATE

PROV1750

100007

FLORIDA HOSPITAL

A

ORLANDO, FL 32803

00090

Old Provider Number for this Provider

100162

CODE

100162

CODE

PROV0300

00100

Current FMS Survey Date

DATE

PROV0500

00110

Official Survey Date

06/19/1990

DATE

06/19/1990

DATE

PROV2740

00120

Eligibility for Medicare/Mediciad

Yes

PROV0455

00140

Intermediary/Carrier Servicing Provider

Blue Cross (Florida)

PROV0605

00150

Medicare/Medicaid Vendor Number

100019

CODE

10129001

CODE

PROV0655

00160

Date Approved for Medicare/Medicaid

07/01/1966

DATE

07/01/1966

DATE

PROV1565

00170

Date of Prior Change in Ownership

DATE

PROV1615

00180

Prior Intermediary Number

CODE

PROV1620

00190

Provider Number

100007

CODE

100007

CODE

PROV1680

00200

Current Status of Record

Accepted

PROV1720

00290

Termination Date/Expriation Date

DATE

PROV4500

00370

Accreditation Effective Date

07/19/2003

DATE

07/19/2003

DATE

PROV0000

00380

Accreditation Expiration Date

07/18/2006

DATE

07/18/2006

DATE

PROV0005

00400

Beds - Total

1828

BEDS

1828

BEDS

PROV0740

00410

Beds - Total Certified

1828

BEDS

1828

BEDS

PROV0755

00550

Date of Validation Survey

06/19/1990

DATE

06/19/1990

DATE

PROV0450

00690

Psychiatric Unit Beds

075

BEDS

075

BEDS

PROV1690

00700

Psychiatric Unit Effective Date

01/01/2003

DATE

01/01/2003

DATE

PROV1695

00730

Psychiatric Unit Termination Date

DATE

PROV1710

00810

Rehabilitation Unit Beds

44

BEDS

30

BEDS

PROV1730

00820

Rehabilitation unit Effective Date

01/01/2006

DATE

01/01/2007

DATE

PROV1735

00850

Rehabilitation Unit Termination Date

DATE

PROV1750

100008

BAPTIST HOSPITAL OF MIAMI INC

A

MIAMI, FL 33176

00090

Old Provider Number for this Provider

CODE

PROV0300

00100

Current FMS Survey Date

DATE

PROV0500

00110

Official Survey Date

04/06/2000

DATE

04/06/2000

DATE

PROV2740

00120

Eligibility for Medicare/Mediciad

Yes

PROV0455

00140

Intermediary/Carrier Servicing Provider

Blue Cross (Florida)

PROV0605

00150

Medicare/Medicaid Vendor Number

10035800

CODE

10035800

CODE

PROV0655

00160

Date Approved for Medicare/Medicaid

07/01/1966

DATE

07/01/1966

DATE

PROV1565

00170

Date of Prior Change in Ownership

DATE

PROV1615

00180

Prior Intermediary Number

CODE

PROV1620

00190

Provider Number

100008

CODE

100008

CODE

PROV1680

00200

Current Status of Record

Accepted

PROV1720

00290

Termination Date/Expriation Date

DATE

PROV4500

00370

Accreditation Effective Date

05/01/1999

DATE

05/01/1999

DATE

PROV0000

00380

Accreditation Expiration Date

05/01/2002

DATE

05/01/2002

DATE

PROV0005

00400

Beds - Total

577

BEDS

577

BEDS

PROV0740

00410

Beds - Total Certified

577

BEDS

577

BEDS

PROV0755

00550

Date of Validation Survey

04/06/2000

DATE

04/06/2000

DATE

PROV0450

00690

Psychiatric Unit Beds

000

BEDS

000

BEDS

PROV1690

00700

Psychiatric Unit Effective Date

DATE

PROV1695

00730

Psychiatric Unit Termination Date

DATE

PROV1710

00810

Rehabilitation Unit Beds

36

BEDS

36

BEDS

PROV1730

00820

Rehabilitation unit Effective Date

09/30/1991

DATE

09/30/1991

DATE

PROV1735

00850

Rehabilitation Unit Termination Date

DATE

PROV1750

100009

CEDARS MEDICAL CENTER

A

MIAMI, FL 33136

00090

Old Provider Number for this Provider

CODE

PROV0300

00100

Current FMS Survey Date

DATE

PROV0500

00110

Official Survey Date

06/29/2001

DATE

07/21/2006

DATE

PROV2740

00120

Eligibility for Medicare/Mediciad

Yes

PROV0455

00140

Intermediary/Carrier Servicing Provider

Mutual of Omaha Insurance Company

PROV0605

00150

Medicare/Medicaid Vendor Number

10036600

CODE

10036600

CODE

PROV0655

00160

Date Approved for Medicare/Medicaid

07/01/1966

DATE

07/01/1966

DATE

PROV1565

00170

Date of Prior Change in Ownership

02/16/1993

DATE

02/16/1993

DATE

PROV1615

00180

Prior Intermediary Number

Blue Cross (Florida)

CODE

Blue Cross (Florida)

CODE

PROV1620

00190

Provider Number

100009

CODE

100009

CODE

PROV1680

00200

Current Status of Record

Accepted

PROV1720

00290

Termination Date/Expriation Date

DATE

PROV4500

00370

Accreditation Effective Date

06/24/2001

DATE

07/01/2004

DATE

PROV0000

00380

Accreditation Expiration Date

06/24/2003

DATE

06/30/2007

DATE

PROV0005

00400

Beds - Total

560

BEDS

560

BEDS

PROV0740

00410

Beds - Total Certified

560

BEDS

560

BEDS

PROV0755

00550

Date of Validation Survey

06/29/2001

DATE

06/29/2001

DATE

PROV0450

00690

Psychiatric Unit Beds

050

BEDS

050

BEDS

PROV1690

00700

Psychiatric Unit Effective Date

10/01/1999

DATE

10/01/1999

DATE

PROV1695

00730

Psychiatric Unit Termination Date

08/01/2006

DATE

PROV1710

00810

Rehabilitation Unit Beds

0

BEDS

0

BEDS

PROV1730

00820

Rehabilitation unit Effective Date

DATE

PROV1735

00850

Rehabilitation Unit Termination Date

DATE

PROV1750

3/25/2008

8:36:45AM

C:\DOCUME~1\ROBERT~1\LOCALS~1\Temp\temp_4bac9cbc-91b5-49e9-8afb-4519bb65ae20 {0242EBC0-A1A1-445B-BF83-D7F4F69692E0}.rpt

{WORK_POS_Hospital_Compare_2007.Provider_Status} = 'A'

8:36:45AM

Healthcare Almanac ‎(‎561‎)‎228‎-‎1582‎

www‎.‎halmanac‎.‎com‎

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3/25/2008