CCN: 040069 NPI: 1316180748 Organization

GREAT RIVER MEDICAL CENTER

1520 NORTH DIVISION
BLYTHEVILLE, AR 723151448

Contact Information

Phone 8708387300
Fax 8708387493
Enumeration Date 2009-04-15
Last Updated 2013-11-15

Taxonomies

Code: 282N00000X
Code: 282NR1301X
Code: 282N00000X (Primary) License State: AR License: AR4562

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.322

medicaidRatio 0.4078

uncompensatedCareAmount 1035.87

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.322

medicaidRatio 0.4078

uncompensatedCareAmount 1035.87

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.322

medicaidRatio 0.3878

uncompensatedCareAmount 1035.87

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.322

medicaidRatio 0.3878

uncompensatedCareAmount 506.02

vbpAdjustment 0.9924301685

hhrAdjustment 0.9972

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.311

medicaidRatio 0.3878

uncompensatedCareAmount 506.02

vbpAdjustment 0.9924301685

hhrAdjustment 0.9972

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.311

medicaidRatio 0.3878

uncompensatedCareAmount 506.02

vbpAdjustment 0.9924301685

hhrAdjustment 0.9972

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.311

medicaidRatio 0.1929

uncompensatedCareAmount 506.02

vbpAdjustment 0.9924301685

hhrAdjustment 0.9972

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.311

medicaidRatio 0.1929

uncompensatedCareAmount 506.02

vbpAdjustment 0.9924301685

hhrAdjustment 0.9972

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.311

medicaidRatio 0.1929

uncompensatedCareAmount 542.18

vbpAdjustment 0.9972938785

hhrAdjustment 0.9988

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.374

medicaidRatio 0.1929

uncompensatedCareAmount 542.18

vbpAdjustment 0.9972938785

hhrAdjustment 0.9988

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.374

medicaidRatio 0.1929

uncompensatedCareAmount 542.18

vbpAdjustment 0.9972938785

hhrAdjustment 0.9988

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.374

medicaidRatio 0.1979

uncompensatedCareAmount 542.18

vbpAdjustment 0.9972938785

hhrAdjustment 0.9988

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.374

medicaidRatio 0.1979

uncompensatedCareAmount 678.37

hhrAdjustment 0.9982

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.276

medicaidRatio 0.1979

uncompensatedCareAmount 678.37

hhrAdjustment 0.9982

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.276

medicaidRatio 0.1979

uncompensatedCareAmount 678.37

hhrAdjustment 0.9982

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.276

medicaidRatio 0.1979

uncompensatedCareAmount 678.37

hhrAdjustment 0.9982

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.276

medicaidRatio 0.2536

uncompensatedCareAmount 678.37

hhrAdjustment 0.9982

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.367

medicaidRatio 0.2536

uncompensatedCareAmount 678.37

hhrAdjustment 0.9982

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.367

medicaidRatio 0.2536

uncompensatedCareAmount 887.01

hhrAdjustment 0.9961

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.367

medicaidRatio 0.2536

uncompensatedCareAmount 887.01

hhrAdjustment 0.9961

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.367

medicaidRatio 0.2536

uncompensatedCareAmount 887.01

hhrAdjustment 0.9961

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.373

medicaidRatio 0.2536

uncompensatedCareAmount 887.01

hhrAdjustment 0.9961

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.373

medicaidRatio 0.2536

uncompensatedCareAmount 887.01

hhrAdjustment 0.9961

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.373

medicaidRatio 0.2536

uncompensatedCareAmount 894.12

vbpAdjustment 0.9948266652

hhrAdjustment 0.9929

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.373

medicaidRatio 0.4624

uncompensatedCareAmount 894.12

vbpAdjustment 0.9948266652

hhrAdjustment 0.9929

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.393

medicaidRatio 0.4022

uncompensatedCareAmount 894.12

vbpAdjustment 0.9948266652

hhrAdjustment 0.9929

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.393

medicaidRatio 0.4022

uncompensatedCareAmount 1120.84

vbpAdjustment 0.9932937566

hhrAdjustment 0.9968

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.393

medicaidRatio 0.4022

uncompensatedCareAmount 1120.84

vbpAdjustment 0.9932937566

hhrAdjustment 0.9968

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.393

medicaidRatio 0.3505

uncompensatedCareAmount 1120.84

vbpAdjustment 0.9932937566

hhrAdjustment 0.9968

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.393

medicaidRatio 0.3505

uncompensatedCareAmount 1106.67

vbpAdjustment 1.0004788491

hhrAdjustment 0.9919

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.371

medicaidRatio 0.3505

uncompensatedCareAmount 1106.67

vbpAdjustment 1.0004788491

hhrAdjustment 0.9919

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.371

medicaidRatio 0.3505

uncompensatedCareAmount 1106.67

vbpAdjustment 1.0004788491

hhrAdjustment 0.9919

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.371

medicaidRatio 0.3505

uncompensatedCareAmount 1106.67

vbpAdjustment 1.0004788491

hhrAdjustment 0.9919

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.371

medicaidRatio 0.3301

uncompensatedCareAmount 1038.86

vbpAdjustment 1.0020670903

hhrAdjustment 0.9831

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.361

medicaidRatio 0.3301

uncompensatedCareAmount 1038.86

vbpAdjustment 1.0020670903

hhrAdjustment 0.9831

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.361

medicaidRatio 0.3301

uncompensatedCareAmount 1038.86

vbpAdjustment 1.0020670903

hhrAdjustment 0.9831

censusDivision 7

cbsaActualGeographicLocation 04

providerType 17

caseMixIndex 1.0292

operatingCostToChargeRatio 0.361

medicaidRatio 0.3301

uncompensatedCareAmount 1038.86

vbpAdjustment 1.0020670903

hhrAdjustment 0.9831

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.259

specialPaymentIndicator

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.259

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.233

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.233

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.233

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.222

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.222

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.179

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.179

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.22

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 99904

providerType 17

operatingCostToChargeRatio 0.22

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.22

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.255

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.255

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.259

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.259

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.24

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.24

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 17

operatingCostToChargeRatio 0.258

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

GREAT RIVER MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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