CCN: 040071 NPI: 1710931985 Organization

JEFFERSON REGIONAL MEDICAL CENTER

1600 W. 40TH AVENUE
PINE BLUFF, AR 716036301

Contact Information

Phone 8705417100
Fax 8705417964
Enumeration Date 2006-05-20
Last Updated 2020-10-21

Taxonomies

Code: 273R00000X
Code: 273Y00000X
Code: 273Y00000X License State: AR License: AR4213
Code: 282N00000X
Code: 314000000X
Code: 282N00000X (Primary) License State: AR License: AR4213

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 04

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.205

medicaidRatio 0.1802

uncompensatedCareAmount 724.95

internsToBedsRatio 0.0997

vbpAdjustment 0.9913209491

hhrAdjustment 0.9978

censusDivision 7

cbsaActualGeographicLocation 04

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.205

medicaidRatio 0.1802

uncompensatedCareAmount 724.95

internsToBedsRatio 0.0997

vbpAdjustment 0.9913209491

hhrAdjustment 0.9978

censusDivision 7

cbsaActualGeographicLocation 04

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.205

medicaidRatio 0.307

uncompensatedCareAmount 724.95

internsToBedsRatio 0.0998

vbpAdjustment 0.9913209491

hhrAdjustment 0.9978

censusDivision 7

cbsaActualGeographicLocation 04

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.201

medicaidRatio 0.307

uncompensatedCareAmount 724.95

internsToBedsRatio 0.0998

vbpAdjustment 0.9913209491

hhrAdjustment 0.9978

censusDivision 7

cbsaActualGeographicLocation 04

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.201

medicaidRatio 0.307

uncompensatedCareAmount 582.37

internsToBedsRatio 0.0998

vbpAdjustment 0.993872068

hhrAdjustment 0.9938

censusDivision 7

cbsaActualGeographicLocation 04

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.201

medicaidRatio 0.307

uncompensatedCareAmount 582.37

internsToBedsRatio 0.0998

vbpAdjustment 0.993872068

hhrAdjustment 0.9938

censusDivision 7

cbsaActualGeographicLocation 04

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.201

medicaidRatio 0.307

uncompensatedCareAmount 582.37

internsToBedsRatio 0.0998

vbpAdjustment 0.993872068

hhrAdjustment 0.9938

censusDivision 7

cbsaActualGeographicLocation 04

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.206

medicaidRatio 0.307

uncompensatedCareAmount 582.37

internsToBedsRatio 0.0998

vbpAdjustment 0.993872068

hhrAdjustment 0.9938

censusDivision 7

cbsaActualGeographicLocation 04

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.206

medicaidRatio 0.3872

uncompensatedCareAmount 582.37

internsToBedsRatio 0.1006

vbpAdjustment 0.993872068

hhrAdjustment 0.9938

censusDivision 7

cbsaActualGeographicLocation 04

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.206

medicaidRatio 0.3872

uncompensatedCareAmount 582.37

internsToBedsRatio 0.1006

vbpAdjustment 0.993872068

hhrAdjustment 0.9938

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.206

medicaidRatio 0.3872

uncompensatedCareAmount 445.42

internsToBedsRatio 0.1006

vbpAdjustment 0.9982692955

hhrAdjustment 0.9943

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.206

medicaidRatio 0.3872

uncompensatedCareAmount 445.42

internsToBedsRatio 0.1006

vbpAdjustment 0.9982692955

hhrAdjustment 0.9943

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.206

medicaidRatio 0.3872

uncompensatedCareAmount 445.42

internsToBedsRatio 0.1006

vbpAdjustment 0.9982692955

hhrAdjustment 0.9943

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.23

medicaidRatio 0.3872

uncompensatedCareAmount 445.42

internsToBedsRatio 0.1006

vbpAdjustment 0.9982692955

hhrAdjustment 0.9943

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.23

medicaidRatio 0.2377

uncompensatedCareAmount 445.42

internsToBedsRatio 0.0986

vbpAdjustment 0.9982692955

hhrAdjustment 0.9943

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.23

medicaidRatio 0.2377

uncompensatedCareAmount 359.15

internsToBedsRatio 0.0986

hhrAdjustment 0.9925

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.23

medicaidRatio 0.2377

uncompensatedCareAmount 359.15

internsToBedsRatio 0.0986

hhrAdjustment 0.9925

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.23

medicaidRatio 0.2377

uncompensatedCareAmount 359.15

internsToBedsRatio 0.0986

hhrAdjustment 0.9925

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.205

medicaidRatio 0.2377

uncompensatedCareAmount 359.15

internsToBedsRatio 0.0986

hhrAdjustment 0.9925

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.205

medicaidRatio 0.2972

uncompensatedCareAmount 359.15

internsToBedsRatio 0.0906

hhrAdjustment 0.9925

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.205

medicaidRatio 0.2972

uncompensatedCareAmount 268.13

internsToBedsRatio 0.0906

hhrAdjustment 0.9822

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.205

medicaidRatio 0.2972

uncompensatedCareAmount 268.13

internsToBedsRatio 0.0906

hhrAdjustment 0.9822

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.205

medicaidRatio 0.2972

uncompensatedCareAmount 268.13

internsToBedsRatio 0.0906

hhrAdjustment 0.9822

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.205

medicaidRatio 0.2105

uncompensatedCareAmount 268.13

internsToBedsRatio 0.0955

hhrAdjustment 0.9822

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.192

medicaidRatio 0.2105

uncompensatedCareAmount 268.13

internsToBedsRatio 0.0955

hhrAdjustment 0.9822

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.192

medicaidRatio 0.2105

uncompensatedCareAmount 268.13

internsToBedsRatio 0.0955

hhrAdjustment 0.9822

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.192

medicaidRatio 0.2105

uncompensatedCareAmount 440.81

internsToBedsRatio 0.0955

vbpAdjustment 0.9929911526

hhrAdjustment 0.9857

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.192

medicaidRatio 0.2105

uncompensatedCareAmount 440.81

internsToBedsRatio 0.0955

vbpAdjustment 0.9929911526

hhrAdjustment 0.9857

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.192

medicaidRatio 0.3375

uncompensatedCareAmount 440.81

internsToBedsRatio 0.0955

vbpAdjustment 0.9929911526

hhrAdjustment 0.9857

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.198

medicaidRatio 0.3375

uncompensatedCareAmount 440.81

internsToBedsRatio 0.0955

vbpAdjustment 0.9929911526

hhrAdjustment 0.9857

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.198

medicaidRatio 0.3375

uncompensatedCareAmount 735.78

internsToBedsRatio 0.0955

vbpAdjustment 0.9955171842

hhrAdjustment 0.9915

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.198

medicaidRatio 0.3375

uncompensatedCareAmount 735.78

internsToBedsRatio 0.0955

vbpAdjustment 0.9955171842

hhrAdjustment 0.9915

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.198

medicaidRatio 0.3375

uncompensatedCareAmount 735.78

internsToBedsRatio 0.0955

vbpAdjustment 0.9955171842

hhrAdjustment 0.9915

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.217

medicaidRatio 0.3375

uncompensatedCareAmount 735.78

internsToBedsRatio 0.0955

vbpAdjustment 0.9955171842

hhrAdjustment 0.9915

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.217

medicaidRatio 0.2565

uncompensatedCareAmount 735.78

internsToBedsRatio 0.0937

vbpAdjustment 0.9955171842

hhrAdjustment 0.9915

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.217

medicaidRatio 0.2565

uncompensatedCareAmount 790.91

internsToBedsRatio 0.0937

vbpAdjustment 0.990713472

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.217

medicaidRatio 0.2565

uncompensatedCareAmount 790.91

internsToBedsRatio 0.0937

vbpAdjustment 0.990713472

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.217

medicaidRatio 0.2565

uncompensatedCareAmount 790.91

internsToBedsRatio 0.0937

vbpAdjustment 0.990713472

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.217

medicaidRatio 0.2677

uncompensatedCareAmount 790.91

internsToBedsRatio 0.0879

vbpAdjustment 0.990713472

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.196

medicaidRatio 0.2677

uncompensatedCareAmount 790.91

internsToBedsRatio 0.0879

vbpAdjustment 0.990713472

hhrAdjustment 0.9944

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.196

medicaidRatio 0.2677

uncompensatedCareAmount 572.51

internsToBedsRatio 0.0879

vbpAdjustment 0.9919696413

hhrAdjustment 0.9942

censusDivision 7

cbsaActualGeographicLocation 38220

providerType 16

caseMixIndex 1.559

operatingCostToChargeRatio 0.196

medicaidRatio 0.2677

uncompensatedCareAmount 572.51

internsToBedsRatio 0.0879

vbpAdjustment 0.9919696413

hhrAdjustment 0.9942

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 04

providerType 16

operatingCostToChargeRatio 0.249

deviceCostToChargeRatio 0.443

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 16

operatingCostToChargeRatio 0.174

deviceCostToChargeRatio 0.473

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 16

operatingCostToChargeRatio 0.174

deviceCostToChargeRatio 0.473

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 04

providerType 16

operatingCostToChargeRatio 0.163

deviceCostToChargeRatio 0.487

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.163

deviceCostToChargeRatio 0.487

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.163

deviceCostToChargeRatio 0.487

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.176

deviceCostToChargeRatio 0.533

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.176

deviceCostToChargeRatio 0.533

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.535

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.535

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.181

deviceCostToChargeRatio 0.496

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.181

deviceCostToChargeRatio 0.496

specialPaymentIndicator D

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.48

specialPaymentIndicator D

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.48

specialPaymentIndicator D

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.417

specialPaymentIndicator D

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.417

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.171

deviceCostToChargeRatio 0.326

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

cbsaActualGeographicLocation 38220

providerType 16

operatingCostToChargeRatio 0.164

deviceCostToChargeRatio 0.355

specialPaymentIndicator Y

carrierCode 07102

localityCode 13

JEFFERSON REGIONAL MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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