CCN: 110027 NPI: 1518354778 Organization

ST MARY'S SACRED HEART HOSPITAL, INC

367 CLEAR CREEK PKWY
LAVONIA, GA 305534173

Contact Information

Phone 7063567800
Fax 7063567828
Enumeration Date 2015-04-24
Last Updated 2025-06-02

Taxonomies

Code: 282NR1301X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.51

medicaidRatio 0.2015

uncompensatedCareAmount 2535.49

vbpAdjustment 0.9990789599

hhrAdjustment 0.9973

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.488

medicaidRatio 0.2323

uncompensatedCareAmount 2535.49

vbpAdjustment 0.9990789599

hhrAdjustment 0.9973

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.488

medicaidRatio 0.2323

uncompensatedCareAmount 2535.49

vbpAdjustment 0.9990789599

hhrAdjustment 0.9973

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.488

medicaidRatio 0.2323

uncompensatedCareAmount 2535.49

vbpAdjustment 0.9990789599

hhrAdjustment 0.9973

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.488

medicaidRatio 0.2323

uncompensatedCareAmount 1723.87

vbpAdjustment 1.0044625715

hhrAdjustment 0.997

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.488

medicaidRatio 0.2323

uncompensatedCareAmount 1723.87

vbpAdjustment 1.0044625715

hhrAdjustment 0.997

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.54

medicaidRatio 0.2384

uncompensatedCareAmount 1723.87

vbpAdjustment 1.0044625715

hhrAdjustment 0.997

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.54

medicaidRatio 0.2384

uncompensatedCareAmount 1723.87

vbpAdjustment 1.0044625715

hhrAdjustment 0.997

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.54

medicaidRatio 0.2384

uncompensatedCareAmount 1422.31

vbpAdjustment 0.9910723003

hhrAdjustment 0.9933

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.54

medicaidRatio 0.2384

uncompensatedCareAmount 1422.31

vbpAdjustment 0.9910723003

hhrAdjustment 0.9933

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.54

medicaidRatio 0.2205

uncompensatedCareAmount 1422.31

vbpAdjustment 0.9910723003

hhrAdjustment 0.9933

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.435

medicaidRatio 0.2205

uncompensatedCareAmount 1422.31

vbpAdjustment 0.9910723003

hhrAdjustment 0.9933

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.435

medicaidRatio 0.2205

uncompensatedCareAmount 1422.31

vbpAdjustment 0.9910723003

hhrAdjustment 0.9933

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.435

medicaidRatio 0.2205

uncompensatedCareAmount 1332.23

hhrAdjustment 0.9958

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.398

medicaidRatio 0.1957

uncompensatedCareAmount 1332.23

hhrAdjustment 0.9958

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.398

medicaidRatio 0.1957

uncompensatedCareAmount 1332.23

hhrAdjustment 0.9958

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.398

medicaidRatio 0.1957

uncompensatedCareAmount 1332.23

hhrAdjustment 0.9958

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.398

medicaidRatio 0.1957

uncompensatedCareAmount 1332.23

hhrAdjustment 0.9958

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.398

medicaidRatio 0.1957

uncompensatedCareAmount 1140.71

hhrAdjustment 0.9971

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.398

medicaidRatio 0.1957

uncompensatedCareAmount 1140.71

hhrAdjustment 0.9971

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.398

medicaidRatio 0.1957

uncompensatedCareAmount 1140.71

hhrAdjustment 0.9971

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.45

medicaidRatio 0.1957

uncompensatedCareAmount 1140.71

hhrAdjustment 0.9971

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.45

medicaidRatio 0.2698

uncompensatedCareAmount 1140.71

hhrAdjustment 0.9971

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.45

medicaidRatio 0.2698

uncompensatedCareAmount 1140.71

hhrAdjustment 0.9971

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.45

medicaidRatio 0.2698

uncompensatedCareAmount 1310.61

vbpAdjustment 0.9983194854

hhrAdjustment 0.9905

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.45

medicaidRatio 0.268

uncompensatedCareAmount 1310.61

vbpAdjustment 0.9983194854

hhrAdjustment 0.9905

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.396

medicaidRatio 0.268

uncompensatedCareAmount 1310.61

vbpAdjustment 0.9983194854

hhrAdjustment 0.9905

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.396

medicaidRatio 0.268

uncompensatedCareAmount 1308.23

vbpAdjustment 0.9983194854

hhrAdjustment 0.9905

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.396

medicaidRatio 0.268

uncompensatedCareAmount 918.33

vbpAdjustment 0.9965703868

hhrAdjustment 0.9881

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.396

medicaidRatio 0.268

uncompensatedCareAmount 918.33

vbpAdjustment 0.9965703868

hhrAdjustment 0.9881

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.415

medicaidRatio 0.2514

uncompensatedCareAmount 918.33

vbpAdjustment 0.9965703868

hhrAdjustment 0.9881

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.415

medicaidRatio 0.2514

uncompensatedCareAmount 918.33

vbpAdjustment 0.9965703868

hhrAdjustment 0.9881

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.415

medicaidRatio 0.2514

uncompensatedCareAmount 1098.53

vbpAdjustment 1.0021854199

hhrAdjustment 0.9871

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.415

medicaidRatio 0.2514

uncompensatedCareAmount 1098.53

vbpAdjustment 1.0021854199

hhrAdjustment 0.9871

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.501

medicaidRatio 0.2762

uncompensatedCareAmount 1098.53

vbpAdjustment 1.0021854199

hhrAdjustment 0.9871

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.501

medicaidRatio 0.2762

uncompensatedCareAmount 956.0

vbpAdjustment 0.9933462533

hhrAdjustment 0.9933

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.501

medicaidRatio 0.2762

uncompensatedCareAmount 956.0

vbpAdjustment 0.9933462533

hhrAdjustment 0.9933

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.501

medicaidRatio 0.2762

uncompensatedCareAmount 956.0

vbpAdjustment 0.9933462533

hhrAdjustment 0.9933

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9145

operatingCostToChargeRatio 0.406

medicaidRatio 0.2732

uncompensatedCareAmount 956.0

vbpAdjustment 0.9933462533

hhrAdjustment 0.9933

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.235

deviceCostToChargeRatio 0.362

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.245

deviceCostToChargeRatio 0.332

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.245

deviceCostToChargeRatio 0.332

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.245

deviceCostToChargeRatio 0.332

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.265

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.265

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.216

deviceCostToChargeRatio 0.278

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.216

deviceCostToChargeRatio 0.278

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.204

deviceCostToChargeRatio 0.278

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.204

deviceCostToChargeRatio 0.278

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.245

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.245

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.201

deviceCostToChargeRatio 0.308

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.201

deviceCostToChargeRatio 0.308

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.395

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.395

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.282

deviceCostToChargeRatio 0.374

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.282

deviceCostToChargeRatio 0.374

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.3

deviceCostToChargeRatio 0.384

specialPaymentIndicator

costOfLivingAdjustment 0.79

carrierCode 10212

localityCode 99

ST MARY'S SACRED HEART HOSPITAL, INC

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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