CCN: 110165 NPI: 1154795581 Organization

SOUTHERN REGIONAL MEDICAL CENTER

11 UPPER RIVERDALE RD SW
RIVERDALE, GA 302742615

Contact Information

Phone 7709918000
Enumeration Date 2015-11-23
Last Updated 2021-09-14

Taxonomies

Code: 207RC0000X
Code: 282N00000X (Primary) License State: GA License: 031-442

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 12054

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.193

medicaidRatio 0.219

uncompensatedCareAmount 5898.46

vbpAdjustment 0.987930411

hhrAdjustment 0.9971

censusDivision 3

cbsaActualGeographicLocation 12054

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.193

medicaidRatio 0.219

uncompensatedCareAmount 5279.81

vbpAdjustment 0.9934245819

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12054

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.2

medicaidRatio 0.3284

uncompensatedCareAmount 5279.81

vbpAdjustment 0.9934245819

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12054

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.2

medicaidRatio 0.3284

uncompensatedCareAmount 5279.81

vbpAdjustment 0.9934245819

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12054

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.2

medicaidRatio 0.3284

uncompensatedCareAmount 5279.81

vbpAdjustment 0.9934245819

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.2

medicaidRatio 0.3284

uncompensatedCareAmount 5155.24

vbpAdjustment 1.0002860359

hhrAdjustment 0.9986

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.2

medicaidRatio 0.348

uncompensatedCareAmount 5155.24

vbpAdjustment 1.0002860359

hhrAdjustment 0.9986

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.217

medicaidRatio 0.348

uncompensatedCareAmount 5155.24

vbpAdjustment 1.0002860359

hhrAdjustment 0.9986

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.217

medicaidRatio 0.348

uncompensatedCareAmount 5155.24

vbpAdjustment 1.0002860359

hhrAdjustment 0.9986

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.217

medicaidRatio 0.348

uncompensatedCareAmount 5155.24

vbpAdjustment 1.0002860359

hhrAdjustment 0.9986

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.217

medicaidRatio 0.348

uncompensatedCareAmount 2723.53

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.217

medicaidRatio 0.391

uncompensatedCareAmount 2723.53

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.217

medicaidRatio 0.391

uncompensatedCareAmount 2723.53

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.217

medicaidRatio 0.391

uncompensatedCareAmount 2723.53

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.217

medicaidRatio 0.4113

uncompensatedCareAmount 2723.53

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.217

medicaidRatio 0.4113

uncompensatedCareAmount 1921.48

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.207

medicaidRatio 0.4113

uncompensatedCareAmount 1921.48

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.207

medicaidRatio 0.4113

uncompensatedCareAmount 1921.48

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.207

medicaidRatio 0.4113

uncompensatedCareAmount 1921.48

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.207

medicaidRatio 0.4113

uncompensatedCareAmount 1921.48

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.207

medicaidRatio 0.4113

uncompensatedCareAmount 2834.49

vbpAdjustment 1.0053407668

hhrAdjustment 0.996

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.205

medicaidRatio 0.4219

uncompensatedCareAmount 2834.49

vbpAdjustment 1.0053407668

hhrAdjustment 0.996

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.205

medicaidRatio 0.4219

uncompensatedCareAmount 2834.49

vbpAdjustment 1.0053407668

hhrAdjustment 0.996

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.196

medicaidRatio 0.4219

uncompensatedCareAmount 2829.34

vbpAdjustment 1.0053407668

hhrAdjustment 0.996

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.196

medicaidRatio 0.3439

uncompensatedCareAmount 2829.34

vbpAdjustment 1.0053407668

hhrAdjustment 0.996

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.201

medicaidRatio 0.3439

uncompensatedCareAmount 2829.34

vbpAdjustment 1.0053407668

hhrAdjustment 0.996

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.201

medicaidRatio 0.3439

uncompensatedCareAmount 2771.5

vbpAdjustment 1.0049491982

hhrAdjustment 0.9928

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.201

medicaidRatio 0.3439

uncompensatedCareAmount 2771.5

vbpAdjustment 1.0049491982

hhrAdjustment 0.9928

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.201

medicaidRatio 0.3439

uncompensatedCareAmount 2771.5

vbpAdjustment 1.0049491982

hhrAdjustment 0.9928

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.201

medicaidRatio 0.3439

uncompensatedCareAmount 2499.14

vbpAdjustment 0.998558957

hhrAdjustment 0.9966

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.204

medicaidRatio 0.3273

uncompensatedCareAmount 2499.14

vbpAdjustment 0.998558957

hhrAdjustment 0.9966

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.204

medicaidRatio 0.3273

uncompensatedCareAmount 2499.14

vbpAdjustment 0.998558957

hhrAdjustment 0.9966

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.204

medicaidRatio 0.3273

uncompensatedCareAmount 2499.14

vbpAdjustment 0.998558957

hhrAdjustment 0.9966

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.204

medicaidRatio 0.3273

uncompensatedCareAmount 2198.23

vbpAdjustment 0.9978753067

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.244

medicaidRatio 0.3604

uncompensatedCareAmount 2198.23

vbpAdjustment 0.9978753067

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.244

medicaidRatio 0.3604

uncompensatedCareAmount 2198.23

vbpAdjustment 0.9978753067

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 00

caseMixIndex 8.1029

operatingCostToChargeRatio 0.244

medicaidRatio 0.3604

uncompensatedCareAmount 2198.23

vbpAdjustment 0.9978753067

hhrAdjustment 0.9946

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.154

deviceCostToChargeRatio 0.126

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.154

deviceCostToChargeRatio 0.126

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12054

providerType 00

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.108

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.108

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.149

deviceCostToChargeRatio 0.11

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.149

deviceCostToChargeRatio 0.11

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.149

deviceCostToChargeRatio 0.11

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.159

deviceCostToChargeRatio 0.068

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.159

deviceCostToChargeRatio 0.068

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.097

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.097

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.097

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.114

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.137

deviceCostToChargeRatio 0.114

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.174

deviceCostToChargeRatio 0.126

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.174

deviceCostToChargeRatio 0.126

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.172

deviceCostToChargeRatio 0.249

specialPaymentIndicator

carrierCode 10212

localityCode 01

cbsaActualGeographicLocation 12060

providerType 00

operatingCostToChargeRatio 0.171

deviceCostToChargeRatio 0.248

specialPaymentIndicator

carrierCode 10212

localityCode 01

SOUTHERN REGIONAL MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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