CCN: 110038 NPI: 1194779702 Organization

ARCHBOLD MEMORIAL

915 GORDON AVE
THOMASVILLE, GA 317926614

Contact Information

Phone 2292282000
Enumeration Date 2006-05-19
Last Updated 2025-04-30

Taxonomies

Code: 261QU0200X
Code: 282N00000X
Code: 282N00000X (Primary) License State: GA License: 136-91

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.326

medicaidRatio 0.2042

uncompensatedCareAmount 3163.33

internsToBedsRatio 0.0446

vbpAdjustment 0.9885625453

hhrAdjustment 0.9991

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.326

medicaidRatio 0.2042

uncompensatedCareAmount 3163.33

internsToBedsRatio 0.0446

vbpAdjustment 0.9885625453

hhrAdjustment 0.9991

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.326

medicaidRatio 0.2042

uncompensatedCareAmount 2220.73

internsToBedsRatio 0.0446

vbpAdjustment 0.9934245819

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.334

medicaidRatio 0.2134

uncompensatedCareAmount 2220.73

internsToBedsRatio 0.0694

vbpAdjustment 0.9934245819

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.326

medicaidRatio 0.2134

uncompensatedCareAmount 2220.73

internsToBedsRatio 0.0694

vbpAdjustment 0.9934245819

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.326

medicaidRatio 0.2134

uncompensatedCareAmount 2220.73

internsToBedsRatio 0.0694

vbpAdjustment 0.9934245819

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.326

medicaidRatio 0.2134

uncompensatedCareAmount 2220.73

internsToBedsRatio 0.0694

vbpAdjustment 0.9934245819

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.326

medicaidRatio 0.2134

uncompensatedCareAmount 2067.54

internsToBedsRatio 0.0694

vbpAdjustment 1.0001674041

hhrAdjustment 0.9942

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.369

medicaidRatio 0.2156

uncompensatedCareAmount 2067.54

internsToBedsRatio 0.0689

vbpAdjustment 1.0001674041

hhrAdjustment 0.9942

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.369

medicaidRatio 0.2156

uncompensatedCareAmount 2067.54

internsToBedsRatio 0.0689

vbpAdjustment 1.0001674041

hhrAdjustment 0.9942

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.369

medicaidRatio 0.2156

uncompensatedCareAmount 2067.54

internsToBedsRatio 0.0694

vbpAdjustment 1.0001674041

hhrAdjustment 0.9942

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.369

medicaidRatio 0.2156

uncompensatedCareAmount 1607.48

internsToBedsRatio 0.0694

hhrAdjustment 0.9916

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.369

medicaidRatio 0.216

uncompensatedCareAmount 1607.48

internsToBedsRatio 0.0689

hhrAdjustment 0.9916

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.369

medicaidRatio 0.216

uncompensatedCareAmount 1607.48

internsToBedsRatio 0.0689

hhrAdjustment 0.9916

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.34

medicaidRatio 0.216

uncompensatedCareAmount 1607.48

internsToBedsRatio 0.0689

hhrAdjustment 0.9916

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.34

medicaidRatio 0.216

uncompensatedCareAmount 1607.48

internsToBedsRatio 0.0689

hhrAdjustment 0.9916

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.34

medicaidRatio 0.216

uncompensatedCareAmount 1535.12

internsToBedsRatio 0.0689

hhrAdjustment 0.9889

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.34

medicaidRatio 0.2095

uncompensatedCareAmount 1535.12

hhrAdjustment 0.9889

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.349

medicaidRatio 0.2095

uncompensatedCareAmount 1535.12

hhrAdjustment 0.9889

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.349

medicaidRatio 0.2095

uncompensatedCareAmount 1535.12

hhrAdjustment 0.9889

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.349

medicaidRatio 0.2095

uncompensatedCareAmount 1535.12

hhrAdjustment 0.9889

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.349

medicaidRatio 0.2095

uncompensatedCareAmount 1535.12

hhrAdjustment 0.9889

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.349

medicaidRatio 0.2095

uncompensatedCareAmount 1780.28

vbpAdjustment 0.9970007676

hhrAdjustment 0.9899

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.296

medicaidRatio 0.2095

uncompensatedCareAmount 1780.28

vbpAdjustment 0.9970007676

hhrAdjustment 0.9899

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.296

medicaidRatio 0.1953

uncompensatedCareAmount 1780.28

vbpAdjustment 0.9970007676

hhrAdjustment 0.9899

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.296

medicaidRatio 0.1953

uncompensatedCareAmount 1780.28

vbpAdjustment 0.9970007676

hhrAdjustment 0.9899

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.314

medicaidRatio 0.1953

uncompensatedCareAmount 1777.05

vbpAdjustment 0.9970007676

hhrAdjustment 0.9899

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.314

medicaidRatio 0.1953

uncompensatedCareAmount 2344.57

vbpAdjustment 0.9899703175

hhrAdjustment 0.9859

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.314

medicaidRatio 0.1849

uncompensatedCareAmount 2344.57

vbpAdjustment 0.9899703175

hhrAdjustment 0.9859

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.293

medicaidRatio 0.1849

uncompensatedCareAmount 2344.57

vbpAdjustment 0.9899703175

hhrAdjustment 0.9859

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.293

medicaidRatio 0.1849

uncompensatedCareAmount 2344.57

vbpAdjustment 0.9899703175

hhrAdjustment 0.9859

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.293

medicaidRatio 0.1849

uncompensatedCareAmount 2344.57

vbpAdjustment 0.9899703175

hhrAdjustment 0.9859

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.293

medicaidRatio 0.1849

uncompensatedCareAmount 1350.9

vbpAdjustment 0.9918985906

hhrAdjustment 0.9879

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.293

medicaidRatio 0.1849

uncompensatedCareAmount 1350.9

vbpAdjustment 0.9918985906

hhrAdjustment 0.9879

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.285

medicaidRatio 0.1997

uncompensatedCareAmount 1350.9

vbpAdjustment 0.9918985906

hhrAdjustment 0.9879

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.285

medicaidRatio 0.1997

uncompensatedCareAmount 1350.9

vbpAdjustment 0.9918985906

hhrAdjustment 0.9879

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.285

medicaidRatio 0.1997

uncompensatedCareAmount 1350.9

vbpAdjustment 0.9918985906

hhrAdjustment 0.9879

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.285

medicaidRatio 0.1997

uncompensatedCareAmount 982.85

vbpAdjustment 0.9992175034

hhrAdjustment 0.9883

censusDivision 3

cbsaActualGeographicLocation 11

providerType 07

caseMixIndex 1.0123

operatingCostToChargeRatio 0.273

medicaidRatio 0.1852

uncompensatedCareAmount 982.85

vbpAdjustment 0.9992175034

hhrAdjustment 0.9883

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.262

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.262

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.262

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.297

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.297

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.307

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.307

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.307

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.218

deviceCostToChargeRatio 0.294

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.304

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.304

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.332

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.332

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.332

specialPaymentIndicator

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.332

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.3

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.3

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.3

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.214

deviceCostToChargeRatio 0.289

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.214

deviceCostToChargeRatio 0.289

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 07

operatingCostToChargeRatio 0.218

deviceCostToChargeRatio 0.287

specialPaymentIndicator Y

carrierCode 10212

localityCode 99

ARCHBOLD MEMORIAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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