CCN: 110035 NPI: 1649248626 Organization

WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER

677 CHURCH ST NE
MARIETTA, GA 300601101

Contact Information

Phone 4706440012
Enumeration Date 2006-03-08
Last Updated 2024-10-31

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 31924

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.158

medicaidRatio 0.1422

uncompensatedCareAmount 3974.43

internsToBedsRatio 0.31

vbpAdjustment 1.0014925632

hhrAdjustment 0.9969

censusDivision 3

cbsaActualGeographicLocation 31924

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.163

medicaidRatio 0.152

uncompensatedCareAmount 3974.43

internsToBedsRatio 0.2742

vbpAdjustment 1.0014925632

hhrAdjustment 0.9969

censusDivision 3

cbsaActualGeographicLocation 31924

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.163

medicaidRatio 0.152

uncompensatedCareAmount 3974.43

internsToBedsRatio 0.2762

vbpAdjustment 1.0014925632

hhrAdjustment 0.9969

censusDivision 3

cbsaActualGeographicLocation 31924

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.163

medicaidRatio 0.152

uncompensatedCareAmount 3157.27

internsToBedsRatio 0.2762

vbpAdjustment 1.0015539121

hhrAdjustment 0.9993

censusDivision 3

cbsaActualGeographicLocation 31924

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.163

medicaidRatio 0.152

uncompensatedCareAmount 3157.27

internsToBedsRatio 0.2762

vbpAdjustment 1.0015539121

hhrAdjustment 0.9993

censusDivision 3

cbsaActualGeographicLocation 31924

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.166

medicaidRatio 0.1735

uncompensatedCareAmount 3157.27

internsToBedsRatio 0.2295

vbpAdjustment 1.0015539121

hhrAdjustment 0.9993

censusDivision 3

cbsaActualGeographicLocation 31924

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.166

medicaidRatio 0.1735

uncompensatedCareAmount 3157.27

internsToBedsRatio 0.2295

vbpAdjustment 1.0015539121

hhrAdjustment 0.9993

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.166

medicaidRatio 0.1735

uncompensatedCareAmount 2919.95

internsToBedsRatio 0.2295

vbpAdjustment 1.0004837555

hhrAdjustment 0.9987

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.166

medicaidRatio 0.1735

uncompensatedCareAmount 2919.95

internsToBedsRatio 0.2295

vbpAdjustment 1.0004837555

hhrAdjustment 0.9987

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.166

medicaidRatio 0.1857

uncompensatedCareAmount 2919.95

internsToBedsRatio 0.2163

vbpAdjustment 1.0004837555

hhrAdjustment 0.9987

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.187

medicaidRatio 0.1857

uncompensatedCareAmount 2919.95

internsToBedsRatio 0.2163

vbpAdjustment 1.0004837555

hhrAdjustment 0.9987

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.191

medicaidRatio 0.1809

uncompensatedCareAmount 2919.95

internsToBedsRatio 0.2163

vbpAdjustment 1.0004837555

hhrAdjustment 0.9987

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.191

medicaidRatio 0.1809

uncompensatedCareAmount 1846.39

internsToBedsRatio 0.2163

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.191

medicaidRatio 0.1818

uncompensatedCareAmount 1846.39

internsToBedsRatio 0.2163

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.191

medicaidRatio 0.1818

uncompensatedCareAmount 1846.39

internsToBedsRatio 0.2163

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.183

medicaidRatio 0.1818

uncompensatedCareAmount 1846.39

internsToBedsRatio 0.2163

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.183

medicaidRatio 0.1818

uncompensatedCareAmount 1846.39

internsToBedsRatio 0.2163

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.183

medicaidRatio 0.1818

uncompensatedCareAmount 1846.39

internsToBedsRatio 0.2163

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.183

medicaidRatio 0.1818

uncompensatedCareAmount 1761.72

internsToBedsRatio 0.2163

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.183

medicaidRatio 0.1818

uncompensatedCareAmount 1761.72

internsToBedsRatio 0.2163

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.183

medicaidRatio 0.1818

uncompensatedCareAmount 1761.72

internsToBedsRatio 0.2163

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.181

medicaidRatio 0.1818

uncompensatedCareAmount 1761.72

internsToBedsRatio 0.2163

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.181

medicaidRatio 0.1796

uncompensatedCareAmount 1761.72

internsToBedsRatio 0.2163

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.181

medicaidRatio 0.1796

uncompensatedCareAmount 1761.72

internsToBedsRatio 0.2163

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.181

medicaidRatio 0.1796

uncompensatedCareAmount 1892.86

internsToBedsRatio 0.2163

vbpAdjustment 1.0003688442

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.181

medicaidRatio 0.1796

uncompensatedCareAmount 1892.86

internsToBedsRatio 0.1537

vbpAdjustment 1.0003688442

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.181

medicaidRatio 0.1796

uncompensatedCareAmount 1892.86

internsToBedsRatio 0.1537

vbpAdjustment 1.0003688442

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.181

medicaidRatio 0.169

uncompensatedCareAmount 1892.86

internsToBedsRatio 0.1537

vbpAdjustment 1.0003688442

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.181

medicaidRatio 0.169

uncompensatedCareAmount 1892.86

internsToBedsRatio 0.1537

vbpAdjustment 1.0003688442

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.184

medicaidRatio 0.169

uncompensatedCareAmount 1892.86

internsToBedsRatio 0.1537

vbpAdjustment 1.0003688442

hhrAdjustment 0.9947

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.184

medicaidRatio 0.169

uncompensatedCareAmount 2355.2

internsToBedsRatio 0.1537

vbpAdjustment 0.9967576228

hhrAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.184

medicaidRatio 0.169

uncompensatedCareAmount 2355.2

internsToBedsRatio 0.1537

vbpAdjustment 0.9967576228

hhrAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.184

medicaidRatio 0.1774

uncompensatedCareAmount 2355.2

internsToBedsRatio 0.1211

vbpAdjustment 0.9967576228

hhrAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.192

medicaidRatio 0.1774

uncompensatedCareAmount 2355.2

internsToBedsRatio 0.1211

vbpAdjustment 0.9967576228

hhrAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.192

medicaidRatio 0.1774

uncompensatedCareAmount 1336.35

internsToBedsRatio 0.1211

vbpAdjustment 1.0016639677

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.192

medicaidRatio 0.1774

uncompensatedCareAmount 1336.35

internsToBedsRatio 0.066

vbpAdjustment 1.0016639677

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.192

medicaidRatio 0.1774

uncompensatedCareAmount 1336.35

internsToBedsRatio 0.066

vbpAdjustment 1.0016639677

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.206

medicaidRatio 0.1837

uncompensatedCareAmount 1336.35

internsToBedsRatio 0.0663

vbpAdjustment 1.0016639677

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.206

medicaidRatio 0.1837

uncompensatedCareAmount 1336.35

internsToBedsRatio 0.0663

vbpAdjustment 1.0016639677

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.206

medicaidRatio 0.1837

uncompensatedCareAmount 945.95

internsToBedsRatio 0.0663

vbpAdjustment 0.9986599756

hhrAdjustment 0.9909

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.206

medicaidRatio 0.1837

uncompensatedCareAmount 945.95

internsToBedsRatio 0.0609

vbpAdjustment 0.9986599756

hhrAdjustment 0.9909

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.206

medicaidRatio 0.1837

uncompensatedCareAmount 945.95

internsToBedsRatio 0.0609

vbpAdjustment 0.9986599756

hhrAdjustment 0.9909

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 1.0316

operatingCostToChargeRatio 0.206

medicaidRatio 0.1838

uncompensatedCareAmount 945.95

internsToBedsRatio 0.0705

vbpAdjustment 0.9986599756

hhrAdjustment 0.9909

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31924

providerType 00

operatingCostToChargeRatio 0.124

deviceCostToChargeRatio 0.256

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 31924

providerType 00

operatingCostToChargeRatio 0.115

deviceCostToChargeRatio 0.284

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 31924

providerType 00

operatingCostToChargeRatio 0.115

deviceCostToChargeRatio 0.284

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 31924

providerType 00

operatingCostToChargeRatio 0.115

deviceCostToChargeRatio 0.284

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 31924

providerType 00

operatingCostToChargeRatio 0.115

deviceCostToChargeRatio 0.277

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.115

deviceCostToChargeRatio 0.277

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.289

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.289

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.289

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.117

deviceCostToChargeRatio 0.271

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.117

deviceCostToChargeRatio 0.271

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.117

deviceCostToChargeRatio 0.271

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.12

deviceCostToChargeRatio 0.295

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.12

deviceCostToChargeRatio 0.295

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.12

deviceCostToChargeRatio 0.295

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.118

deviceCostToChargeRatio 0.333

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.118

deviceCostToChargeRatio 0.333

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.328

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.328

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.13

deviceCostToChargeRatio 0.339

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.13

deviceCostToChargeRatio 0.339

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.141

deviceCostToChargeRatio 0.345

specialPaymentIndicator

carrierCode 10212

localityCode 01

WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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