CCN: 110016 NPI: 1821221144 Organization

WELLSTAR WEST GEORGIA MEDICAL CENTER

1514 VERNON RD
LAGRANGE, GA 302404131

Contact Information

Phone 7068821411
Fax 7068458918
Enumeration Date 2009-09-03
Last Updated 2024-10-31

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.142

medicaidRatio 0.177

uncompensatedCareAmount 3381.63

vbpAdjustment 1.0166925177

hhrAdjustment 0.997

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.148

medicaidRatio 0.1795

uncompensatedCareAmount 3381.63

vbpAdjustment 1.0166925177

hhrAdjustment 0.997

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.148

medicaidRatio 0.1733

uncompensatedCareAmount 3381.63

vbpAdjustment 1.0166925177

hhrAdjustment 0.997

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.148

medicaidRatio 0.1733

uncompensatedCareAmount 2456.61

vbpAdjustment 1.004052376

hhrAdjustment 0.9959

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.148

medicaidRatio 0.1733

uncompensatedCareAmount 2456.61

vbpAdjustment 1.004052376

hhrAdjustment 0.9959

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.148

medicaidRatio 0.1733

uncompensatedCareAmount 2456.61

vbpAdjustment 1.004052376

hhrAdjustment 0.9959

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.148

medicaidRatio 0.2196

uncompensatedCareAmount 2456.61

vbpAdjustment 1.004052376

hhrAdjustment 0.9959

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.158

medicaidRatio 0.2196

uncompensatedCareAmount 2456.61

vbpAdjustment 1.004052376

hhrAdjustment 0.9959

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.158

medicaidRatio 0.2196

uncompensatedCareAmount 2456.61

vbpAdjustment 1.004052376

hhrAdjustment 0.9959

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.158

medicaidRatio 0.2196

uncompensatedCareAmount 2107.49

vbpAdjustment 1.0042008849

hhrAdjustment 0.9905

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.158

medicaidRatio 0.2196

uncompensatedCareAmount 2107.49

vbpAdjustment 1.0042008849

hhrAdjustment 0.9905

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.217

medicaidRatio 0.2228

uncompensatedCareAmount 2107.49

vbpAdjustment 1.0042008849

hhrAdjustment 0.9905

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.217

medicaidRatio 0.2228

uncompensatedCareAmount 2107.49

vbpAdjustment 1.0042008849

hhrAdjustment 0.9905

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.217

medicaidRatio 0.2228

uncompensatedCareAmount 1880.06

hhrAdjustment 0.9923

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.217

medicaidRatio 0.2075

uncompensatedCareAmount 1880.06

hhrAdjustment 0.9923

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.217

medicaidRatio 0.2075

uncompensatedCareAmount 1880.06

hhrAdjustment 0.9923

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.178

medicaidRatio 0.2075

uncompensatedCareAmount 1880.06

hhrAdjustment 0.9923

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.178

medicaidRatio 0.2075

uncompensatedCareAmount 1880.06

hhrAdjustment 0.9923

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.178

medicaidRatio 0.2075

uncompensatedCareAmount 1782.3

hhrAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.178

medicaidRatio 0.2075

uncompensatedCareAmount 1782.3

hhrAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.178

medicaidRatio 0.21

uncompensatedCareAmount 1782.3

hhrAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.183

medicaidRatio 0.21

uncompensatedCareAmount 1782.3

hhrAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.183

medicaidRatio 0.21

uncompensatedCareAmount 1782.3

hhrAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.183

medicaidRatio 0.21

uncompensatedCareAmount 1782.3

hhrAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.183

medicaidRatio 0.21

uncompensatedCareAmount 1769.79

vbpAdjustment 0.991226922

hhrAdjustment 0.9931

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.183

medicaidRatio 0.21

uncompensatedCareAmount 1769.79

vbpAdjustment 0.991226922

hhrAdjustment 0.9931

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.183

medicaidRatio 0.2499

uncompensatedCareAmount 1769.79

vbpAdjustment 0.991226922

hhrAdjustment 0.9931

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.183

medicaidRatio 0.2499

uncompensatedCareAmount 1769.79

vbpAdjustment 0.991226922

hhrAdjustment 0.9931

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.184

medicaidRatio 0.2499

uncompensatedCareAmount 1769.79

vbpAdjustment 0.991226922

hhrAdjustment 0.9931

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.184

medicaidRatio 0.2499

uncompensatedCareAmount 1754.34

vbpAdjustment 0.991585228

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.184

medicaidRatio 0.2488

uncompensatedCareAmount 1754.34

vbpAdjustment 0.991585228

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.184

medicaidRatio 0.2488

uncompensatedCareAmount 1754.34

vbpAdjustment 0.991585228

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.179

medicaidRatio 0.2488

uncompensatedCareAmount 1754.34

vbpAdjustment 0.991585228

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.179

medicaidRatio 0.2488

uncompensatedCareAmount 1754.34

vbpAdjustment 0.991585228

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.179

medicaidRatio 0.2488

uncompensatedCareAmount 1585.93

vbpAdjustment 0.9976819693

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.179

medicaidRatio 0.2488

uncompensatedCareAmount 1585.93

vbpAdjustment 0.9976819693

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.241

medicaidRatio 0.2488

uncompensatedCareAmount 1585.93

vbpAdjustment 0.9976819693

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.315

medicaidRatio 0.2415

uncompensatedCareAmount 1585.93

vbpAdjustment 0.9976819693

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.315

medicaidRatio 0.2415

uncompensatedCareAmount 1585.93

vbpAdjustment 0.9976819693

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.315

medicaidRatio 0.2415

uncompensatedCareAmount 1092.79

vbpAdjustment 1.0038911012

hhrAdjustment 0.9987

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.315

medicaidRatio 0.2415

uncompensatedCareAmount 1092.79

vbpAdjustment 1.0038911012

hhrAdjustment 0.9987

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0565

operatingCostToChargeRatio 0.315

medicaidRatio 0.2292

uncompensatedCareAmount 1092.79

vbpAdjustment 1.0038911012

hhrAdjustment 0.9987

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.239

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.122

deviceCostToChargeRatio 0.287

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.122

deviceCostToChargeRatio 0.287

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.122

deviceCostToChargeRatio 0.287

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.122

deviceCostToChargeRatio 0.287

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.124

deviceCostToChargeRatio 0.262

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.124

deviceCostToChargeRatio 0.262

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.244

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.244

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.131

deviceCostToChargeRatio 0.278

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.131

deviceCostToChargeRatio 0.278

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.13

deviceCostToChargeRatio 0.267

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.13

deviceCostToChargeRatio 0.267

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.13

deviceCostToChargeRatio 0.267

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.321

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.321

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.118

deviceCostToChargeRatio 0.352

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.118

deviceCostToChargeRatio 0.352

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.36

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.22

deviceCostToChargeRatio 0.384

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.22

deviceCostToChargeRatio 0.384

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.196

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

WELLSTAR WEST GEORGIA MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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