CCN: 110132 NPI: 1053388256 Organization

MEMORIAL HOSPITAL AND MANOR

1500 E SHOTWELL ST
BAINBRIDGE, GA 398194256

Contact Information

Phone 2292463500
Fax 2292468142
Enumeration Date 2006-03-07
Last Updated 2022-01-27

Taxonomies

Code: 275N00000X
Code: 282N00000X License State: GA License: 43-112
Code: 314000000X License State: GA License: 1-043-500
Code: 261QM1300X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.534

medicaidRatio 0.2849

uncompensatedCareAmount 5022.65

hhrAdjustment 0.9926

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.522

medicaidRatio 0.3624

uncompensatedCareAmount 5022.65

hhrAdjustment 0.9926

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.522

medicaidRatio 0.3624

uncompensatedCareAmount 3602.74

hhrAdjustment 0.9993

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.522

medicaidRatio 0.3624

uncompensatedCareAmount 3602.74

hhrAdjustment 0.9993

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.522

medicaidRatio 0.3624

uncompensatedCareAmount 3602.74

hhrAdjustment 0.9993

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.544

medicaidRatio 0.3624

uncompensatedCareAmount 3602.74

hhrAdjustment 0.9993

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.544

medicaidRatio 0.2377

uncompensatedCareAmount 3602.74

hhrAdjustment 0.9993

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.544

medicaidRatio 0.2377

uncompensatedCareAmount 3145.46

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.544

medicaidRatio 0.2377

uncompensatedCareAmount 3145.46

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.544

medicaidRatio 0.2377

uncompensatedCareAmount 3145.46

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.405

medicaidRatio 0.1931

uncompensatedCareAmount 3145.46

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.405

medicaidRatio 0.1931

uncompensatedCareAmount 2520.96

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.405

medicaidRatio 0.1931

uncompensatedCareAmount 2520.96

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.405

medicaidRatio 0.1931

uncompensatedCareAmount 2520.96

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.405

medicaidRatio 0.2576

uncompensatedCareAmount 2520.96

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.42

medicaidRatio 0.2576

uncompensatedCareAmount 2520.96

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.42

medicaidRatio 0.2576

uncompensatedCareAmount 2457.27

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.42

medicaidRatio 0.2576

uncompensatedCareAmount 2457.27

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.42

medicaidRatio 0.2576

uncompensatedCareAmount 2457.27

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.42

medicaidRatio 0.2576

uncompensatedCareAmount 2457.27

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.408

medicaidRatio 0.207

uncompensatedCareAmount 2457.27

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.408

medicaidRatio 0.207

uncompensatedCareAmount 2546.79

vbpAdjustment 1.0069446128

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.408

medicaidRatio 0.207

uncompensatedCareAmount 2546.79

vbpAdjustment 1.0069446128

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.412

medicaidRatio 0.1881

uncompensatedCareAmount 2542.17

vbpAdjustment 1.0069446128

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.412

medicaidRatio 0.1881

uncompensatedCareAmount 3464.41

vbpAdjustment 1.0045747261

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.412

medicaidRatio 0.1881

uncompensatedCareAmount 3464.41

vbpAdjustment 1.0045747261

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.412

medicaidRatio 0.1881

uncompensatedCareAmount 3464.41

vbpAdjustment 1.0045747261

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.35

medicaidRatio 0.2431

uncompensatedCareAmount 3464.41

vbpAdjustment 1.0045747261

hhrAdjustment 0.9994

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.35

medicaidRatio 0.2431

uncompensatedCareAmount 2009.77

hhrAdjustment 0.9942

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.35

medicaidRatio 0.2431

uncompensatedCareAmount 2009.77

hhrAdjustment 0.9942

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.35

medicaidRatio 0.2431

uncompensatedCareAmount 2009.77

hhrAdjustment 0.9942

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.35

medicaidRatio 0.2491

uncompensatedCareAmount 2009.77

hhrAdjustment 0.9942

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.344

medicaidRatio 0.2491

uncompensatedCareAmount 2009.77

hhrAdjustment 0.9942

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.344

medicaidRatio 0.2491

uncompensatedCareAmount 1190.47

vbpAdjustment 1.01902695

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.344

medicaidRatio 0.2491

uncompensatedCareAmount 1190.47

vbpAdjustment 1.01902695

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.344

medicaidRatio 0.2491

uncompensatedCareAmount 1190.47

vbpAdjustment 1.01902695

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.344

medicaidRatio 0.2491

uncompensatedCareAmount 1190.47

vbpAdjustment 1.01902695

hhrAdjustment 0.9979

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.9492

operatingCostToChargeRatio 0.434

medicaidRatio 0.2532

uncompensatedCareAmount 1190.47

vbpAdjustment 1.01902695

hhrAdjustment 0.9979

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.356

deviceCostToChargeRatio 0.356

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.356

deviceCostToChargeRatio 0.356

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.264

deviceCostToChargeRatio 0.264

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.264

deviceCostToChargeRatio 0.264

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.259

deviceCostToChargeRatio 0.259

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.259

deviceCostToChargeRatio 0.259

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.25

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.25

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.291

deviceCostToChargeRatio 0.291

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.291

deviceCostToChargeRatio 0.291

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.263

deviceCostToChargeRatio 0.263

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.263

deviceCostToChargeRatio 0.263

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.251

deviceCostToChargeRatio 0.251

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.251

deviceCostToChargeRatio 0.251

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.207

deviceCostToChargeRatio 0.207

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.207

deviceCostToChargeRatio 0.207

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.2

specialPaymentIndicator

costOfLivingAdjustment 0.859

carrierCode 10212

localityCode 99

MEMORIAL HOSPITAL AND MANOR

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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