CCN: 010001 NPI: 1164403861 Organization

SOUTHEAST HEALTH MEDICAL CENTER

1108 ROSS CLARK CIRCLE
DOTHAN, AL 363013022

Contact Information

Phone 3347938111
Fax 3347938779
Enumeration Date 2005-11-09
Last Updated 2018-10-25

Taxonomies

Code: 282N00000X (Primary) License State: AL License: 10358

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.181

medicaidRatio 0.1738

uncompensatedCareAmount 1400.27

internsToBedsRatio 0.1604

vbpAdjustment 1.0021821642

hhrAdjustment 0.9988

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.181

medicaidRatio 0.1738

uncompensatedCareAmount 1400.27

internsToBedsRatio 0.1604

vbpAdjustment 1.0021821642

hhrAdjustment 0.9988

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.181

medicaidRatio 0.1738

uncompensatedCareAmount 996.38

internsToBedsRatio 0.1604

vbpAdjustment 0.9987944147

hhrAdjustment 0.9975

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.181

medicaidRatio 0.1883

uncompensatedCareAmount 996.38

internsToBedsRatio 0.1241

vbpAdjustment 0.9987944147

hhrAdjustment 0.9975

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.187

medicaidRatio 0.1883

uncompensatedCareAmount 996.38

internsToBedsRatio 0.1241

vbpAdjustment 0.9987944147

hhrAdjustment 0.9975

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.187

medicaidRatio 0.1883

uncompensatedCareAmount 996.38

internsToBedsRatio 0.1241

vbpAdjustment 0.9987944147

hhrAdjustment 0.9975

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.187

medicaidRatio 0.1883

uncompensatedCareAmount 996.38

internsToBedsRatio 0.1241

vbpAdjustment 0.9987944147

hhrAdjustment 0.9975

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.187

medicaidRatio 0.1883

uncompensatedCareAmount 895.45

internsToBedsRatio 0.1241

vbpAdjustment 0.9947894297

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.187

medicaidRatio 0.1817

uncompensatedCareAmount 895.45

internsToBedsRatio 0.1241

vbpAdjustment 0.9947894297

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.187

medicaidRatio 0.1817

uncompensatedCareAmount 895.45

internsToBedsRatio 0.1241

vbpAdjustment 0.9947894297

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1817

uncompensatedCareAmount 895.45

internsToBedsRatio 0.1241

vbpAdjustment 0.9947894297

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1817

uncompensatedCareAmount 895.45

internsToBedsRatio 0.1233

vbpAdjustment 0.9947894297

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1817

uncompensatedCareAmount 772.9

internsToBedsRatio 0.1233

hhrAdjustment 0.9974

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.201

medicaidRatio 0.1759

uncompensatedCareAmount 772.9

internsToBedsRatio 0.1233

hhrAdjustment 0.9974

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.197

medicaidRatio 0.1759

uncompensatedCareAmount 772.9

internsToBedsRatio 0.1233

hhrAdjustment 0.9974

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.197

medicaidRatio 0.1759

uncompensatedCareAmount 772.9

internsToBedsRatio 0.1233

hhrAdjustment 0.9974

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.197

medicaidRatio 0.1759

uncompensatedCareAmount 772.9

internsToBedsRatio 0.1233

hhrAdjustment 0.9974

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.197

medicaidRatio 0.1759

uncompensatedCareAmount 672.33

internsToBedsRatio 0.1233

hhrAdjustment 0.9903

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.197

medicaidRatio 0.1759

uncompensatedCareAmount 672.33

internsToBedsRatio 0.091

hhrAdjustment 0.9903

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.197

medicaidRatio 0.1989

uncompensatedCareAmount 672.33

internsToBedsRatio 0.0494

hhrAdjustment 0.9903

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.181

medicaidRatio 0.1989

uncompensatedCareAmount 672.33

internsToBedsRatio 0.0494

hhrAdjustment 0.9903

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.181

medicaidRatio 0.1989

uncompensatedCareAmount 672.33

internsToBedsRatio 0.0494

hhrAdjustment 0.9903

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.181

medicaidRatio 0.1989

uncompensatedCareAmount 672.33

internsToBedsRatio 0.0494

hhrAdjustment 0.9903

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.181

medicaidRatio 0.1989

uncompensatedCareAmount 672.33

internsToBedsRatio 0.0494

hhrAdjustment 0.9903

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.181

medicaidRatio 0.1989

uncompensatedCareAmount 726.2

internsToBedsRatio 0.0494

vbpAdjustment 1.003255767

hhrAdjustment 0.9864

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.181

medicaidRatio 0.197

uncompensatedCareAmount 726.2

internsToBedsRatio 0.0415

vbpAdjustment 1.003255767

hhrAdjustment 0.9864

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.176

medicaidRatio 0.197

uncompensatedCareAmount 726.2

internsToBedsRatio 0.0415

vbpAdjustment 1.003255767

hhrAdjustment 0.9864

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.176

medicaidRatio 0.197

uncompensatedCareAmount 726.2

internsToBedsRatio 0.0415

vbpAdjustment 1.003255767

hhrAdjustment 0.9864

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.176

medicaidRatio 0.197

uncompensatedCareAmount 718.23

internsToBedsRatio 0.0415

vbpAdjustment 0.9931533296

hhrAdjustment 0.9846

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.176

medicaidRatio 0.1836

uncompensatedCareAmount 718.23

internsToBedsRatio 0.0391

vbpAdjustment 0.9931533296

hhrAdjustment 0.9846

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.173

medicaidRatio 0.1836

uncompensatedCareAmount 718.23

internsToBedsRatio 0.0391

vbpAdjustment 0.9931533296

hhrAdjustment 0.9846

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.173

medicaidRatio 0.1836

uncompensatedCareAmount 718.23

internsToBedsRatio 0.0391

vbpAdjustment 0.9931533296

hhrAdjustment 0.9846

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.173

medicaidRatio 0.1836

uncompensatedCareAmount 718.23

internsToBedsRatio 0.0391

vbpAdjustment 0.9931533296

hhrAdjustment 0.9846

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.173

medicaidRatio 0.1836

uncompensatedCareAmount 651.39

internsToBedsRatio 0.0391

vbpAdjustment 0.9927281736

hhrAdjustment 0.9916

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.173

medicaidRatio 0.1779

uncompensatedCareAmount 651.39

internsToBedsRatio 0.0383

vbpAdjustment 0.9927281736

hhrAdjustment 0.9916

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.18

medicaidRatio 0.1779

uncompensatedCareAmount 651.39

internsToBedsRatio 0.0383

vbpAdjustment 0.9927281736

hhrAdjustment 0.9916

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.18

medicaidRatio 0.1779

uncompensatedCareAmount 651.39

internsToBedsRatio 0.0383

vbpAdjustment 0.9927281736

hhrAdjustment 0.9916

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 00

operatingCostToChargeRatio 0.18

medicaidRatio 0.1779

uncompensatedCareAmount 546.02

internsToBedsRatio 0.0383

vbpAdjustment 1.0005528171

hhrAdjustment 0.9946

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 00

operatingCostToChargeRatio 0.18

medicaidRatio 0.1779

uncompensatedCareAmount 546.02

vbpAdjustment 1.0005528171

hhrAdjustment 0.9946

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 00

operatingCostToChargeRatio 0.18

medicaidRatio 0.1854

uncompensatedCareAmount 546.02

vbpAdjustment 1.0005528171

hhrAdjustment 0.9946

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 00

operatingCostToChargeRatio 0.189

medicaidRatio 0.1854

uncompensatedCareAmount 546.02

vbpAdjustment 1.0005528171

hhrAdjustment 0.9946

censusDivision 5

cbsaActualGeographicLocation 20020

providerType 00

operatingCostToChargeRatio 0.189

medicaidRatio 0.1854

uncompensatedCareAmount 546.02

vbpAdjustment 1.0005528171

hhrAdjustment 0.9946

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.142

deviceCostToChargeRatio 0.347

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.142

deviceCostToChargeRatio 0.347

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.142

deviceCostToChargeRatio 0.347

specialPaymentIndicator 2

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.434

specialPaymentIndicator 2

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.434

specialPaymentIndicator 2

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.142

deviceCostToChargeRatio 0.443

specialPaymentIndicator 2

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.142

deviceCostToChargeRatio 0.443

specialPaymentIndicator 2

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.149

deviceCostToChargeRatio 0.402

specialPaymentIndicator 2

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.149

deviceCostToChargeRatio 0.402

specialPaymentIndicator 2

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.135

deviceCostToChargeRatio 0.354

specialPaymentIndicator 2

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.135

deviceCostToChargeRatio 0.354

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.125

deviceCostToChargeRatio 0.508

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.125

deviceCostToChargeRatio 0.508

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.534

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 07

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.534

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 00

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.534

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 00

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.506

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 00

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.506

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 20020

providerType 00

operatingCostToChargeRatio 0.135

deviceCostToChargeRatio 0.497

specialPaymentIndicator Y

carrierCode 10112

localityCode 00

SOUTHEAST HEALTH MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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