CCN: 100134 NPI: 1104926401 Organization

ED FRASER MEMORIAL HOSPITAL

159 N 3RD ST
MACCLENNY, FL 320632103

Contact Information

Phone 9042593151
Fax 9042593279
Enumeration Date 2006-09-25
Last Updated 2021-06-21

Taxonomies

Code: 314000000X License State: FL License: SNF1581096
Code: 3336C0003X License State: FL License: PH13709
Code: 3336I0012X License State: FL License: PH9039
Code: 3336I0012X License State: FL License: PH13710
Code: 282NR1301X (Primary) License State: FL License: 4152

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.481

medicaidRatio 0.042

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.481

medicaidRatio 0.042

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.51

medicaidRatio 0.042

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.51

medicaidRatio 0.042

uncompensatedCareAmount 4793.3

hhrAdjustment 0.9989

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.51

uncompensatedCareAmount 4793.3

hhrAdjustment 0.9989

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.465

uncompensatedCareAmount 4793.3

hhrAdjustment 0.9989

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.465

uncompensatedCareAmount 4793.3

hhrAdjustment 0.9989

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.465

uncompensatedCareAmount 5388.43

hhrAdjustment 0.9955

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.465

uncompensatedCareAmount 5388.43

hhrAdjustment 0.9955

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.824

uncompensatedCareAmount 5388.43

hhrAdjustment 0.9955

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.824

uncompensatedCareAmount 5388.43

hhrAdjustment 0.9955

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.824

uncompensatedCareAmount 4784.82

hhrAdjustment 0.9981

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.583

uncompensatedCareAmount 4784.82

hhrAdjustment 0.9981

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.583

uncompensatedCareAmount 4784.82

hhrAdjustment 0.9981

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.583

uncompensatedCareAmount 4784.82

hhrAdjustment 0.9981

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.583

uncompensatedCareAmount 4784.82

hhrAdjustment 0.9981

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.583

uncompensatedCareAmount 4782.4

hhrAdjustment 0.9931

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.6

uncompensatedCareAmount 4782.4

hhrAdjustment 0.9931

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.6

medicaidRatio 0.03

uncompensatedCareAmount 4782.4

hhrAdjustment 0.9931

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.6

medicaidRatio 0.03

uncompensatedCareAmount 4782.4

hhrAdjustment 0.9931

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.6

medicaidRatio 0.03

uncompensatedCareAmount 4782.4

hhrAdjustment 0.9931

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.6

medicaidRatio 0.03

uncompensatedCareAmount 5947.66

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.555

medicaidRatio 0.03

uncompensatedCareAmount 5947.66

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.555

medicaidRatio 0.0443

uncompensatedCareAmount 5947.66

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.555

medicaidRatio 0.0443

uncompensatedCareAmount 7164.58

hhrAdjustment 0.9937

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.555

uncompensatedCareAmount 7164.58

hhrAdjustment 0.9937

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.508

uncompensatedCareAmount 7164.58

hhrAdjustment 0.9937

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.508

uncompensatedCareAmount 7164.58

hhrAdjustment 0.9937

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.508

uncompensatedCareAmount 13212.22

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.508

medicaidRatio 0.0443

uncompensatedCareAmount 13212.22

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.508

medicaidRatio 0.0443

uncompensatedCareAmount 13212.22

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.57

medicaidRatio 0.0443

uncompensatedCareAmount 13212.22

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.57

medicaidRatio 0.0443

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.57

medicaidRatio 0.02

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.627

medicaidRatio 0.02

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 16

caseMixIndex 0.8981

operatingCostToChargeRatio 0.627

medicaidRatio 0.02

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 1.382

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 1.358

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 1.358

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.235

deviceCostToChargeRatio 0.78

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.235

deviceCostToChargeRatio 0.78

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.35

deviceCostToChargeRatio 1.5

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.35

deviceCostToChargeRatio 1.5

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.247

deviceCostToChargeRatio 0.878

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.247

deviceCostToChargeRatio 0.878

specialPaymentIndicator 1

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.281

deviceCostToChargeRatio 1.093

specialPaymentIndicator 1

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.281

deviceCostToChargeRatio 1.093

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.241

deviceCostToChargeRatio 1.294

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.241

deviceCostToChargeRatio 1.294

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.915

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.915

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.241

deviceCostToChargeRatio 0.508

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.241

deviceCostToChargeRatio 0.508

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 27260

providerType 16

operatingCostToChargeRatio 0.252

deviceCostToChargeRatio 0.618

specialPaymentIndicator Y

costOfLivingAdjustment 0.83

carrierCode 09102

localityCode 99

ED FRASER MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

Supercharge Your Revenue Cycle Analytics