CCN: 040007 NPI: 1710442801 Organization

CHI ST VINCENT INFIRMARY

2 SAINT VINCENT CIR
LITTLE ROCK, AR 722055423

Contact Information

Phone 5015523000
Enumeration Date 2019-02-04
Last Updated 2019-02-04

Taxonomies

Code: 273R00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.212

medicaidRatio 0.2278

uncompensatedCareAmount 500.71

internsToBedsRatio 0.0159

vbpAdjustment 0.9964354895

hhrAdjustment 0.999

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.212

medicaidRatio 0.2278

uncompensatedCareAmount 500.71

internsToBedsRatio 0.0159

vbpAdjustment 0.9964354895

hhrAdjustment 0.999

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.212

medicaidRatio 0.2769

uncompensatedCareAmount 500.71

internsToBedsRatio 0.016

vbpAdjustment 0.9964354895

hhrAdjustment 0.999

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.224

medicaidRatio 0.2769

uncompensatedCareAmount 500.71

internsToBedsRatio 0.016

vbpAdjustment 0.9964354895

hhrAdjustment 0.999

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.224

medicaidRatio 0.2769

uncompensatedCareAmount 340.01

internsToBedsRatio 0.016

vbpAdjustment 0.9911871516

hhrAdjustment 0.9971

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.224

medicaidRatio 0.2769

uncompensatedCareAmount 340.01

internsToBedsRatio 0.016

vbpAdjustment 0.9911871516

hhrAdjustment 0.9971

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.224

medicaidRatio 0.2769

uncompensatedCareAmount 340.01

internsToBedsRatio 0.016

vbpAdjustment 0.9911871516

hhrAdjustment 0.9971

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.225

medicaidRatio 0.2769

uncompensatedCareAmount 340.01

internsToBedsRatio 0.016

vbpAdjustment 0.9911871516

hhrAdjustment 0.9971

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.225

medicaidRatio 0.3308

uncompensatedCareAmount 340.01

internsToBedsRatio 0.0147

vbpAdjustment 0.9911871516

hhrAdjustment 0.9971

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.225

medicaidRatio 0.3308

uncompensatedCareAmount 208.57

internsToBedsRatio 0.0147

vbpAdjustment 0.995184869

hhrAdjustment 0.9976

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.225

medicaidRatio 0.3308

uncompensatedCareAmount 208.57

internsToBedsRatio 0.0147

vbpAdjustment 0.995184869

hhrAdjustment 0.9976

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.225

medicaidRatio 0.3308

uncompensatedCareAmount 208.57

internsToBedsRatio 0.0147

vbpAdjustment 0.995184869

hhrAdjustment 0.9976

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.225

medicaidRatio 0.3089

uncompensatedCareAmount 208.57

internsToBedsRatio 0.0136

vbpAdjustment 0.995184869

hhrAdjustment 0.9976

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.237

medicaidRatio 0.3089

uncompensatedCareAmount 208.57

internsToBedsRatio 0.0136

vbpAdjustment 0.995184869

hhrAdjustment 0.9976

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.237

medicaidRatio 0.3089

uncompensatedCareAmount 138.7

internsToBedsRatio 0.0136

hhrAdjustment 0.9949

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.237

medicaidRatio 0.284

uncompensatedCareAmount 138.7

internsToBedsRatio 0.0139

hhrAdjustment 0.9949

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.234

medicaidRatio 0.284

uncompensatedCareAmount 138.7

internsToBedsRatio 0.0139

hhrAdjustment 0.9949

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.234

medicaidRatio 0.284

uncompensatedCareAmount 138.7

internsToBedsRatio 0.0139

hhrAdjustment 0.9949

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.234

medicaidRatio 0.284

uncompensatedCareAmount 138.7

internsToBedsRatio 0.013

hhrAdjustment 0.9949

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.234

medicaidRatio 0.284

uncompensatedCareAmount 4.95

internsToBedsRatio 0.013

hhrAdjustment 0.9948

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.234

medicaidRatio 0.2835

uncompensatedCareAmount 4.95

internsToBedsRatio 0.013

hhrAdjustment 0.9948

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.234

medicaidRatio 0.2835

uncompensatedCareAmount 4.95

internsToBedsRatio 0.013

hhrAdjustment 0.9948

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.213

medicaidRatio 0.2835

uncompensatedCareAmount 4.95

internsToBedsRatio 0.013

hhrAdjustment 0.9948

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.213

medicaidRatio 0.2346

uncompensatedCareAmount 4.95

internsToBedsRatio 0.0129

hhrAdjustment 0.9948

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.213

medicaidRatio 0.2346

uncompensatedCareAmount 4.95

internsToBedsRatio 0.0129

hhrAdjustment 0.9948

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.213

medicaidRatio 0.2346

uncompensatedCareAmount 345.77

internsToBedsRatio 0.0129

vbpAdjustment 1.0022934594

hhrAdjustment 0.9927

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.213

medicaidRatio 0.2346

uncompensatedCareAmount 345.77

internsToBedsRatio 0.0129

vbpAdjustment 1.0022934594

hhrAdjustment 0.9927

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.204

medicaidRatio 0.2346

uncompensatedCareAmount 345.77

internsToBedsRatio 0.0129

vbpAdjustment 1.0022934594

hhrAdjustment 0.9927

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.204

medicaidRatio 0.2829

uncompensatedCareAmount 345.77

internsToBedsRatio 0.011

vbpAdjustment 1.0022934594

hhrAdjustment 0.9927

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 07

caseMixIndex 1.7646

operatingCostToChargeRatio 0.204

medicaidRatio 0.2829

uncompensatedCareAmount 166.33

internsToBedsRatio 0.011

vbpAdjustment 0.9960788922

hhrAdjustment 0.994

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.204

medicaidRatio 0.2829

uncompensatedCareAmount 166.33

internsToBedsRatio 0.011

vbpAdjustment 0.9960788922

hhrAdjustment 0.994

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.204

medicaidRatio 0.2773

uncompensatedCareAmount 166.33

internsToBedsRatio 0.0114

vbpAdjustment 0.9960788922

hhrAdjustment 0.994

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.204

medicaidRatio 0.2773

uncompensatedCareAmount 166.33

internsToBedsRatio 0.0114

vbpAdjustment 0.9960788922

hhrAdjustment 0.994

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.218

medicaidRatio 0.2773

uncompensatedCareAmount 166.33

internsToBedsRatio 0.0114

vbpAdjustment 0.9960788922

hhrAdjustment 0.994

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.218

medicaidRatio 0.2773

uncompensatedCareAmount 166.33

internsToBedsRatio 0.0114

vbpAdjustment 0.9960788922

hhrAdjustment 0.994

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.218

medicaidRatio 0.2773

uncompensatedCareAmount 521.06

internsToBedsRatio 0.0114

vbpAdjustment 0.9927281736

hhrAdjustment 0.9933

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.218

medicaidRatio 0.2773

uncompensatedCareAmount 521.06

internsToBedsRatio 0.0114

vbpAdjustment 0.9927281736

hhrAdjustment 0.9933

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.218

medicaidRatio 0.2773

uncompensatedCareAmount 521.06

internsToBedsRatio 0.0114

vbpAdjustment 0.9927281736

hhrAdjustment 0.9933

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.226

medicaidRatio 0.2831

uncompensatedCareAmount 521.06

internsToBedsRatio 0.0105

vbpAdjustment 0.9927281736

hhrAdjustment 0.9933

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.226

medicaidRatio 0.2831

uncompensatedCareAmount 538.3

internsToBedsRatio 0.0105

vbpAdjustment 0.9895330381

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.226

medicaidRatio 0.2831

uncompensatedCareAmount 538.3

internsToBedsRatio 0.0105

vbpAdjustment 0.9895330381

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.224

medicaidRatio 0.2831

uncompensatedCareAmount 538.3

internsToBedsRatio 0.0105

vbpAdjustment 0.9895330381

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.224

medicaidRatio 0.2738

uncompensatedCareAmount 538.3

internsToBedsRatio 0.0105

vbpAdjustment 0.9895330381

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.224

medicaidRatio 0.2738

uncompensatedCareAmount 538.3

internsToBedsRatio 0.0105

vbpAdjustment 0.9895330381

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.224

medicaidRatio 0.2738

uncompensatedCareAmount 539.87

internsToBedsRatio 0.0105

vbpAdjustment 0.986859666

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.224

medicaidRatio 0.2738

uncompensatedCareAmount 539.87

internsToBedsRatio 0.0105

vbpAdjustment 0.986859666

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.224

medicaidRatio 0.2738

uncompensatedCareAmount 539.87

internsToBedsRatio 0.0105

vbpAdjustment 0.986859666

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.224

medicaidRatio 0.2581

uncompensatedCareAmount 539.87

internsToBedsRatio 0.0109

vbpAdjustment 0.986859666

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.225

medicaidRatio 0.2581

uncompensatedCareAmount 539.87

internsToBedsRatio 0.0109

vbpAdjustment 0.986859666

hhrAdjustment 0.9979

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.225

medicaidRatio 0.2581

uncompensatedCareAmount 470.72

internsToBedsRatio 0.0109

vbpAdjustment 0.9915993235

hhrAdjustment 0.9983

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.225

medicaidRatio 0.2581

uncompensatedCareAmount 470.72

internsToBedsRatio 0.0109

vbpAdjustment 0.9915993235

hhrAdjustment 0.9983

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.225

medicaidRatio 0.2581

uncompensatedCareAmount 470.72

internsToBedsRatio 0.0109

vbpAdjustment 0.9915993235

hhrAdjustment 0.9983

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.225

medicaidRatio 0.1983

uncompensatedCareAmount 470.72

internsToBedsRatio 0.0112

vbpAdjustment 0.9915993235

hhrAdjustment 0.9983

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.237

medicaidRatio 0.1983

uncompensatedCareAmount 470.72

internsToBedsRatio 0.0112

vbpAdjustment 0.9915993235

hhrAdjustment 0.9983

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.237

medicaidRatio 0.1983

uncompensatedCareAmount 470.72

internsToBedsRatio 0.0112

vbpAdjustment 0.9915993235

hhrAdjustment 0.9983

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.237

medicaidRatio 0.1983

uncompensatedCareAmount 562.58

internsToBedsRatio 0.0112

vbpAdjustment 0.9964028908

hhrAdjustment 0.9937

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.237

medicaidRatio 0.1983

uncompensatedCareAmount 562.58

internsToBedsRatio 0.0112

vbpAdjustment 0.9964028908

hhrAdjustment 0.9937

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.237

medicaidRatio 0.153

uncompensatedCareAmount 562.58

internsToBedsRatio 0.0116

vbpAdjustment 0.9964028908

hhrAdjustment 0.9937

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.265

medicaidRatio 0.153

uncompensatedCareAmount 562.58

internsToBedsRatio 0.0116

vbpAdjustment 0.9964028908

hhrAdjustment 0.9937

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.265

medicaidRatio 0.153

uncompensatedCareAmount 562.58

internsToBedsRatio 0.0116

vbpAdjustment 0.9964028908

hhrAdjustment 0.9937

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.265

medicaidRatio 0.153

internsToBedsRatio 0.0116

vbpAdjustment 0.9970070862

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.265

medicaidRatio 0.153

internsToBedsRatio 0.0118

vbpAdjustment 0.9970070862

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.265

medicaidRatio 0.1913

internsToBedsRatio 0.0131

vbpAdjustment 0.9970070862

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.251

medicaidRatio 0.1913

internsToBedsRatio 0.0131

vbpAdjustment 0.9970070862

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.251

medicaidRatio 0.1913

internsToBedsRatio 0.0131

vbpAdjustment 0.997912327

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.251

medicaidRatio 0.1913

internsToBedsRatio 0.0131

vbpAdjustment 0.997912327

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.251

medicaidRatio 0.2015

internsToBedsRatio 0.0124

vbpAdjustment 0.997912327

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

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operatingCostToChargeRatio 0.271

medicaidRatio 0.2015

internsToBedsRatio 0.0124

vbpAdjustment 0.997912327

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.7646

operatingCostToChargeRatio 0.271

medicaidRatio 0.2015

internsToBedsRatio 0.0124

censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

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operatingCostToChargeRatio 0.29

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censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

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operatingCostToChargeRatio 0.29

medicaidRatio 0.208

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censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

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censusDivision 7

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censusDivision 7

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censusDivision 7

cbsaActualGeographicLocation 30780

providerType 00

caseMixIndex 1.097

operatingCostToChargeRatio 0.276

medicaidRatio 0.208

internsToBedsRatio 0.0138

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 30780

providerType 07

operatingCostToChargeRatio 0.199

deviceCostToChargeRatio 0.336

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 30780

providerType 07

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specialPaymentIndicator Y

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cbsaActualGeographicLocation 30780

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specialPaymentIndicator Y

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localityCode 13

cbsaActualGeographicLocation 30780

providerType 07

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deviceCostToChargeRatio 0.358

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 30780

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deviceCostToChargeRatio 0.358

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 30780

providerType 07

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deviceCostToChargeRatio 0.308

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 30780

providerType 07

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deviceCostToChargeRatio 0.308

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 30780

providerType 07

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specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 30780

providerType 07

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deviceCostToChargeRatio 0.298

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 30780

providerType 07

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deviceCostToChargeRatio 0.284

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 30780

providerType 07

operatingCostToChargeRatio 0.171

deviceCostToChargeRatio 0.284

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 30780

providerType 07

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deviceCostToChargeRatio 0.285

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 30780

providerType 07

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deviceCostToChargeRatio 0.285

specialPaymentIndicator Y

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localityCode 13

cbsaActualGeographicLocation 30780

providerType 00

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deviceCostToChargeRatio 0.285

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 30780

providerType 00

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deviceCostToChargeRatio 0.3

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localityCode 13

cbsaActualGeographicLocation 30780

providerType 00

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deviceCostToChargeRatio 0.3

specialPaymentIndicator Y

carrierCode 07102

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cbsaActualGeographicLocation 30780

providerType 00

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deviceCostToChargeRatio 0.3

specialPaymentIndicator

carrierCode 07102

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cbsaActualGeographicLocation 30780

providerType 00

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specialPaymentIndicator

carrierCode 07102

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cbsaActualGeographicLocation 30780

providerType 00

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