CCN: 110142 NPI: 1730110826 Organization

EVANS MEMORIAL HOSPITAL

200 N RIVER ST
CLAXTON, GA 304171659

Contact Information

Phone 9127395000
Fax 9127395106
Enumeration Date 2006-07-06
Last Updated 2022-11-25

Taxonomies

Code: 282N00000X (Primary) License State: GA License: 054526

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.226

medicaidRatio 0.1001

uncompensatedCareAmount 1084.35

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.226

medicaidRatio 0.1001

uncompensatedCareAmount 1084.35

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.226

medicaidRatio 0.1001

uncompensatedCareAmount 1084.35

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.226

medicaidRatio 0.1001

uncompensatedCareAmount 905.88

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.208

medicaidRatio 0.0981

uncompensatedCareAmount 905.88

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.208

medicaidRatio 0.0981

uncompensatedCareAmount 905.88

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.208

medicaidRatio 0.0981

uncompensatedCareAmount 905.88

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.208

medicaidRatio 0.0981

uncompensatedCareAmount 876.65

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.242

medicaidRatio 0.0994

uncompensatedCareAmount 876.65

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.242

medicaidRatio 0.0994

uncompensatedCareAmount 876.65

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.242

medicaidRatio 0.0994

uncompensatedCareAmount 876.65

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.242

medicaidRatio 0.0994

uncompensatedCareAmount 974.78

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.242

medicaidRatio 0.1871

uncompensatedCareAmount 974.78

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.242

medicaidRatio 0.1871

uncompensatedCareAmount 974.78

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.207

medicaidRatio 0.1871

uncompensatedCareAmount 974.78

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.207

medicaidRatio 0.1871

uncompensatedCareAmount 974.78

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.207

medicaidRatio 0.1871

uncompensatedCareAmount 974.78

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.207

medicaidRatio 0.1871

uncompensatedCareAmount 786.33

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.246

medicaidRatio 0.0985

uncompensatedCareAmount 786.33

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.246

medicaidRatio 0.0985

uncompensatedCareAmount 786.33

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.246

medicaidRatio 0.0985

uncompensatedCareAmount 786.33

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.246

medicaidRatio 0.0985

uncompensatedCareAmount 786.33

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.246

medicaidRatio 0.0985

uncompensatedCareAmount 910.24

vbpAdjustment 1.0083702537

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.271

medicaidRatio 0.2046

uncompensatedCareAmount 910.24

vbpAdjustment 1.0083702537

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.271

medicaidRatio 0.1847

uncompensatedCareAmount 910.24

vbpAdjustment 1.0083702537

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.271

medicaidRatio 0.2046

uncompensatedCareAmount 991.38

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.271

medicaidRatio 0.1847

uncompensatedCareAmount 991.38

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.239

medicaidRatio 0.1847

uncompensatedCareAmount 991.38

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.239

medicaidRatio 0.1847

uncompensatedCareAmount 991.38

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.239

medicaidRatio 0.1847

uncompensatedCareAmount 991.38

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.239

medicaidRatio 0.1847

uncompensatedCareAmount 710.54

vbpAdjustment 1.0181134137

hhrAdjustment 0.9967

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.238

medicaidRatio 0.0612

uncompensatedCareAmount 710.54

vbpAdjustment 1.0181134137

hhrAdjustment 0.9967

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.238

medicaidRatio 0.0612

uncompensatedCareAmount 710.54

vbpAdjustment 1.0181134137

hhrAdjustment 0.9967

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.238

medicaidRatio 0.0612

uncompensatedCareAmount 710.54

vbpAdjustment 1.0181134137

hhrAdjustment 0.9967

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.238

medicaidRatio 0.0612

vbpAdjustment 1.0123779141

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.259

medicaidRatio 0.0778

vbpAdjustment 1.0123779141

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 00

caseMixIndex 0.8892

operatingCostToChargeRatio 0.259

medicaidRatio 0.0778

vbpAdjustment 1.0123779141

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.123

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.123

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.124

deviceCostToChargeRatio 0.124

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.124

deviceCostToChargeRatio 0.124

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.115

deviceCostToChargeRatio 0.115

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.115

deviceCostToChargeRatio 0.115

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.115

deviceCostToChargeRatio 0.115

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.134

deviceCostToChargeRatio 0.134

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.16

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.16

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.162

deviceCostToChargeRatio 0.162

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.162

deviceCostToChargeRatio 0.162

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.16

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.16

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.16

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

cbsaActualGeographicLocation 11

providerType 00

operatingCostToChargeRatio 0.219

specialPaymentIndicator

costOfLivingAdjustment 0.808

carrierCode 10212

localityCode 99

EVANS MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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