CCN: 100142 NPI: 1538108725 Organization

JACKSON HOSPITAL

4250 HOSPITAL DR
MARIANNA, FL 324461917

Contact Information

Phone 8505262200
Fax 8507182649
Enumeration Date 2006-06-05
Last Updated 2024-01-05

Taxonomies

Code: 261QR1300X
Code: 282NR1301X
Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.549

medicaidRatio 0.1978

uncompensatedCareAmount 1455.03

vbpAdjustment 1.0044808341

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.549

medicaidRatio 0.1978

uncompensatedCareAmount 1455.03

vbpAdjustment 1.0044808341

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.549

medicaidRatio 0.1978

uncompensatedCareAmount 1455.03

vbpAdjustment 1.0044808341

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.549

medicaidRatio 0.1978

uncompensatedCareAmount 995.92

vbpAdjustment 0.9916346377

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.545

medicaidRatio 0.2033

uncompensatedCareAmount 995.92

vbpAdjustment 0.9916346377

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.545

medicaidRatio 0.2033

uncompensatedCareAmount 995.92

vbpAdjustment 0.9916346377

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.545

medicaidRatio 0.2033

uncompensatedCareAmount 995.92

vbpAdjustment 0.9916346377

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.545

medicaidRatio 0.194

uncompensatedCareAmount 995.92

vbpAdjustment 0.9916346377

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.545

medicaidRatio 0.194

uncompensatedCareAmount 872.85

vbpAdjustment 1.0106860894

hhrAdjustment 0.991

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.608

medicaidRatio 0.2323

uncompensatedCareAmount 872.85

vbpAdjustment 1.0106860894

hhrAdjustment 0.991

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.608

medicaidRatio 0.2323

uncompensatedCareAmount 872.85

vbpAdjustment 1.0106860894

hhrAdjustment 0.991

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.608

medicaidRatio 0.2323

uncompensatedCareAmount 712.78

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.583

medicaidRatio 0.2093

uncompensatedCareAmount 712.78

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.583

medicaidRatio 0.2093

uncompensatedCareAmount 712.78

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.583

medicaidRatio 0.2093

uncompensatedCareAmount 712.78

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.583

medicaidRatio 0.2093

uncompensatedCareAmount 712.78

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.583

medicaidRatio 0.2093

uncompensatedCareAmount 712.78

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.583

medicaidRatio 0.2093

uncompensatedCareAmount 658.14

hhrAdjustment 0.9847

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.498

medicaidRatio 0.2199

uncompensatedCareAmount 658.14

hhrAdjustment 0.9847

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.498

medicaidRatio 0.2199

uncompensatedCareAmount 658.14

hhrAdjustment 0.9847

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.498

medicaidRatio 0.2199

uncompensatedCareAmount 658.14

hhrAdjustment 0.9847

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.498

medicaidRatio 0.2199

uncompensatedCareAmount 853.21

vbpAdjustment 0.9966799984

hhrAdjustment 0.9897

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.447

medicaidRatio 0.2123

uncompensatedCareAmount 853.21

vbpAdjustment 0.9966799984

hhrAdjustment 0.9897

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.447

medicaidRatio 0.2123

uncompensatedCareAmount 1085.42

vbpAdjustment 0.9953065437

hhrAdjustment 0.9885

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.422

medicaidRatio 0.1983

uncompensatedCareAmount 1085.42

vbpAdjustment 0.9953065437

hhrAdjustment 0.9885

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.422

medicaidRatio 0.1983

uncompensatedCareAmount 1085.42

vbpAdjustment 0.9953065437

hhrAdjustment 0.9885

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.422

medicaidRatio 0.1983

uncompensatedCareAmount 830.22

vbpAdjustment 1.000407742

hhrAdjustment 0.99

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.422

medicaidRatio 0.1983

uncompensatedCareAmount 830.22

vbpAdjustment 1.000407742

hhrAdjustment 0.99

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.414

medicaidRatio 0.2294

uncompensatedCareAmount 830.22

vbpAdjustment 1.000407742

hhrAdjustment 0.99

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.414

medicaidRatio 0.2294

uncompensatedCareAmount 830.22

vbpAdjustment 1.000407742

hhrAdjustment 0.99

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.414

medicaidRatio 0.2294

uncompensatedCareAmount 576.47

vbpAdjustment 1.0039220749

hhrAdjustment 0.9894

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.415

medicaidRatio 0.2572

uncompensatedCareAmount 576.47

vbpAdjustment 1.0039220749

hhrAdjustment 0.9894

censusDivision 3

cbsaActualGeographicLocation 10

providerType 16

caseMixIndex 1.0

operatingCostToChargeRatio 0.415

medicaidRatio 0.2572

uncompensatedCareAmount 576.47

vbpAdjustment 1.0039220749

hhrAdjustment 0.9894

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.545

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.545

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.254

deviceCostToChargeRatio 0.584

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.254

deviceCostToChargeRatio 0.584

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.291

deviceCostToChargeRatio 0.813

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.291

deviceCostToChargeRatio 0.813

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 0.786

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 0.786

specialPaymentIndicator 1

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.261

deviceCostToChargeRatio 0.841

specialPaymentIndicator 1

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.261

deviceCostToChargeRatio 0.841

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.257

deviceCostToChargeRatio 0.882

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.257

deviceCostToChargeRatio 0.882

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.877

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.877

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.816

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.816

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 10

providerType 16

operatingCostToChargeRatio 0.23

deviceCostToChargeRatio 0.812

specialPaymentIndicator

costOfLivingAdjustment 0.85

carrierCode 09102

localityCode 99

JACKSON HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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