CCN: 110073 NPI: 1245248624 Organization

DORMINY MEDICAL CENTER

200 PERRY HOUSE RD
FITZGERALD, GA 317508857

Contact Information

Phone 2294247100
Fax 2294247281
Enumeration Date 2006-08-03
Last Updated 2008-05-28

Taxonomies

Code: 282NR1301X (Primary) License State: GA License: 009-288

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.389

medicaidRatio 0.1503

uncompensatedCareAmount 4360.58

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.444

medicaidRatio 0.1665

uncompensatedCareAmount 4360.58

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.444

medicaidRatio 0.1665

uncompensatedCareAmount 4360.58

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.444

medicaidRatio 0.1665

uncompensatedCareAmount 4360.58

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.444

medicaidRatio 0.1665

uncompensatedCareAmount 3217.79

vbpAdjustment 1.0119206726

hhrAdjustment 0.999

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.444

medicaidRatio 0.1665

uncompensatedCareAmount 3217.79

vbpAdjustment 1.0119206726

hhrAdjustment 0.999

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.464

medicaidRatio 0.1449

uncompensatedCareAmount 3217.79

vbpAdjustment 1.0119206726

hhrAdjustment 0.999

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.464

medicaidRatio 0.1449

uncompensatedCareAmount 3217.79

vbpAdjustment 1.0119206726

hhrAdjustment 0.999

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.464

medicaidRatio 0.1449

uncompensatedCareAmount 9725.75

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.464

medicaidRatio 0.1449

uncompensatedCareAmount 9725.75

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.398

medicaidRatio 0.1842

uncompensatedCareAmount 9725.75

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.398

medicaidRatio 0.1842

uncompensatedCareAmount 9725.75

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.398

medicaidRatio 0.1842

uncompensatedCareAmount 10641.02

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.398

medicaidRatio 0.1842

uncompensatedCareAmount 10641.02

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.395

medicaidRatio 0.1143

uncompensatedCareAmount 10641.02

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.395

medicaidRatio 0.1143

uncompensatedCareAmount 10641.02

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.395

medicaidRatio 0.1143

uncompensatedCareAmount 17854.01

hhrAdjustment 0.9962

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.395

medicaidRatio 0.2177

uncompensatedCareAmount 17854.01

hhrAdjustment 0.9962

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.332

medicaidRatio 0.2177

uncompensatedCareAmount 17854.01

hhrAdjustment 0.9962

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.332

medicaidRatio 0.2177

uncompensatedCareAmount 17854.01

hhrAdjustment 0.9962

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.332

medicaidRatio 0.2177

uncompensatedCareAmount 17854.01

hhrAdjustment 0.9962

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.332

medicaidRatio 0.2177

uncompensatedCareAmount 2294.27

vbpAdjustment 0.9932584603

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.332

medicaidRatio 0.2177

uncompensatedCareAmount 2294.27

vbpAdjustment 0.9932584603

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.328

medicaidRatio 0.2177

uncompensatedCareAmount 2294.27

vbpAdjustment 0.9932584603

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.328

medicaidRatio 0.2623

uncompensatedCareAmount 2294.27

vbpAdjustment 0.9932584603

hhrAdjustment 0.9948

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.328

medicaidRatio 0.2623

uncompensatedCareAmount 2742.06

vbpAdjustment 1.0096300984

hhrAdjustment 0.9964

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.328

medicaidRatio 0.2671

uncompensatedCareAmount 2742.06

vbpAdjustment 1.0096300984

hhrAdjustment 0.9964

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.328

medicaidRatio 0.2671

uncompensatedCareAmount 2742.06

vbpAdjustment 1.0096300984

hhrAdjustment 0.9964

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.302

medicaidRatio 0.2671

uncompensatedCareAmount 2742.06

vbpAdjustment 1.0096300984

hhrAdjustment 0.9964

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.302

medicaidRatio 0.2671

uncompensatedCareAmount 2742.06

vbpAdjustment 1.0096300984

hhrAdjustment 0.9964

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.302

medicaidRatio 0.2671

uncompensatedCareAmount 1888.19

vbpAdjustment 0.9912349242

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.302

medicaidRatio 0.2671

uncompensatedCareAmount 1888.19

vbpAdjustment 0.9912349242

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.368

medicaidRatio 0.27

uncompensatedCareAmount 1888.19

vbpAdjustment 0.9912349242

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.368

medicaidRatio 0.27

uncompensatedCareAmount 1888.19

vbpAdjustment 0.9912349242

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.368

medicaidRatio 0.27

uncompensatedCareAmount 1331.56

vbpAdjustment 1.0076079535

hhrAdjustment 0.9954

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9176

operatingCostToChargeRatio 0.368

medicaidRatio 0.27

uncompensatedCareAmount 1331.56

vbpAdjustment 1.0076079535

hhrAdjustment 0.9954

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.213

deviceCostToChargeRatio 0.333

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.189

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.189

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.189

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 3.515

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 3.515

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.198

deviceCostToChargeRatio 2.047

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.198

deviceCostToChargeRatio 2.047

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 6.182

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 6.182

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.176

deviceCostToChargeRatio 1.469

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.176

deviceCostToChargeRatio 1.469

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.513

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.513

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.513

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.766

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.766

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.19

deviceCostToChargeRatio 0.658

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.19

deviceCostToChargeRatio 0.658

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.474

specialPaymentIndicator

costOfLivingAdjustment 0.838

carrierCode 10212

localityCode 99

DORMINY MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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