CCN: 010148 NPI: 1891770368 Organization

EVERGREEN MEDICAL CENTER

101 CRESTVIEW AVE
EVERGREEN, AL 364013333

Contact Information

Phone 2515782480
Fax 2515781055
Enumeration Date 2005-12-07
Last Updated 2008-09-09

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.5

medicaidRatio 0.1277

uncompensatedCareAmount 1086.51

vbpAdjustment 1.0076606607

hhrAdjustment 0.9976

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.5

medicaidRatio 0.1277

uncompensatedCareAmount 1086.51

vbpAdjustment 1.0076606607

hhrAdjustment 0.9976

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.5

medicaidRatio 0.1277

uncompensatedCareAmount 790.85

vbpAdjustment 1.0152022371

hhrAdjustment 0.9973

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.479

medicaidRatio 0.1325

uncompensatedCareAmount 790.85

vbpAdjustment 1.0152022371

hhrAdjustment 0.9973

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.479

medicaidRatio 0.1325

uncompensatedCareAmount 790.85

vbpAdjustment 1.0152022371

hhrAdjustment 0.9973

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.479

medicaidRatio 0.1325

uncompensatedCareAmount 790.85

vbpAdjustment 1.0152022371

hhrAdjustment 0.9973

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.479

medicaidRatio 0.1325

uncompensatedCareAmount 663.52

vbpAdjustment 1.0091043322

hhrAdjustment 0.997

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.384

medicaidRatio 0.1341

uncompensatedCareAmount 663.52

vbpAdjustment 1.0091043322

hhrAdjustment 0.997

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.384

medicaidRatio 0.1341

uncompensatedCareAmount 663.52

vbpAdjustment 1.0091043322

hhrAdjustment 0.997

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.384

medicaidRatio 0.1341

uncompensatedCareAmount 663.52

vbpAdjustment 1.0091043322

hhrAdjustment 0.997

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.384

medicaidRatio 0.1341

uncompensatedCareAmount 460.62

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.419

medicaidRatio 0.1341

uncompensatedCareAmount 460.62

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.384

medicaidRatio 0.1147

uncompensatedCareAmount 460.62

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.384

medicaidRatio 0.1147

uncompensatedCareAmount 460.62

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.384

medicaidRatio 0.1147

uncompensatedCareAmount 460.62

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.384

medicaidRatio 0.1147

uncompensatedCareAmount 460.62

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.384

medicaidRatio 0.1396

uncompensatedCareAmount 460.62

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.384

medicaidRatio 0.1396

uncompensatedCareAmount 402.13

hhrAdjustment 0.9891

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.372

medicaidRatio 0.1396

uncompensatedCareAmount 402.13

hhrAdjustment 0.9891

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.372

medicaidRatio 0.1396

uncompensatedCareAmount 402.13

hhrAdjustment 0.9891

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.372

medicaidRatio 0.1396

uncompensatedCareAmount 402.13

hhrAdjustment 0.9891

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.372

medicaidRatio 0.1396

uncompensatedCareAmount 402.13

hhrAdjustment 0.9891

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.341

medicaidRatio 0.1524

uncompensatedCareAmount 402.13

hhrAdjustment 0.9891

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.341

medicaidRatio 0.1524

uncompensatedCareAmount 472.62

vbpAdjustment 1.0157835863

hhrAdjustment 0.9829

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.341

medicaidRatio 0.1524

uncompensatedCareAmount 472.62

vbpAdjustment 1.0157835863

hhrAdjustment 0.9829

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.345

medicaidRatio 0.1477

uncompensatedCareAmount 471.76

vbpAdjustment 1.0157835863

hhrAdjustment 0.9829

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.345

medicaidRatio 0.1477

uncompensatedCareAmount 407.94

vbpAdjustment 1.0146386616

hhrAdjustment 0.9848

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.345

medicaidRatio 0.1477

uncompensatedCareAmount 407.94

vbpAdjustment 1.0146386616

hhrAdjustment 0.9848

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.345

medicaidRatio 0.1477

uncompensatedCareAmount 407.94

vbpAdjustment 1.0146386616

hhrAdjustment 0.9848

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.345

medicaidRatio 0.1477

uncompensatedCareAmount 356.61

vbpAdjustment 1.0099597978

hhrAdjustment 0.986

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.314

medicaidRatio 0.1674

uncompensatedCareAmount 356.61

vbpAdjustment 1.0099597978

hhrAdjustment 0.986

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.314

medicaidRatio 0.1674

uncompensatedCareAmount 356.61

vbpAdjustment 1.0099597978

hhrAdjustment 0.986

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.314

medicaidRatio 0.1674

uncompensatedCareAmount 356.61

vbpAdjustment 1.0099597978

hhrAdjustment 0.986

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.314

medicaidRatio 0.1674

uncompensatedCareAmount 328.8

vbpAdjustment 1.0048616126

hhrAdjustment 0.9956

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.336

medicaidRatio 0.1819

uncompensatedCareAmount 328.8

vbpAdjustment 1.0048616126

hhrAdjustment 0.9956

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.314

medicaidRatio 0.1819

uncompensatedCareAmount 328.8

vbpAdjustment 1.0048616126

hhrAdjustment 0.9956

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.314

medicaidRatio 0.1455

uncompensatedCareAmount 328.8

vbpAdjustment 1.0048616126

hhrAdjustment 0.9956

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.314

medicaidRatio 0.1455

uncompensatedCareAmount 328.8

vbpAdjustment 1.0048616126

hhrAdjustment 0.9956

censusDivision 5

cbsaActualGeographicLocation 01

providerType 14

operatingCostToChargeRatio 0.314

medicaidRatio 0.1455

uncompensatedCareAmount 278.31

vbpAdjustment 1.009755081

hhrAdjustment 0.9922

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.264

deviceCostToChargeRatio 0.264

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.264

deviceCostToChargeRatio 0.264

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.264

deviceCostToChargeRatio 0.264

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.264

deviceCostToChargeRatio 0.264

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.263

deviceCostToChargeRatio 0.263

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.263

deviceCostToChargeRatio 0.263

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.24

deviceCostToChargeRatio 0.24

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.24

deviceCostToChargeRatio 0.24

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.241

deviceCostToChargeRatio 0.241

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.241

deviceCostToChargeRatio 0.241

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.227

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.227

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.243

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.243

specialPaymentIndicator Y

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.249

deviceCostToChargeRatio 0.249

specialPaymentIndicator Y

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.249

deviceCostToChargeRatio 0.249

specialPaymentIndicator Y

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

cbsaActualGeographicLocation 01

providerType 00

operatingCostToChargeRatio 0.216

specialPaymentIndicator Y

costOfLivingAdjustment 0.892

carrierCode 10112

localityCode 00

EVERGREEN MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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