CCN: 115385 NPI: 1063036200 Organization

PRUITTHEALTH - CRESTWOOD, LLC

415 PENDLETON PL
VALDOSTA, GA 316022632

Contact Information

Phone 2292426868
Enumeration Date 2020-06-03
Last Updated 2020-06-03

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 46660

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9843331027

censusDivision 4

cbsaActualGeographicLocation 46660

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 46660

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 46660

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 46660

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 46660

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0019172825

censusDivision 3

cbsaActualGeographicLocation 46660

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9938074096

censusDivision 3

cbsaActualGeographicLocation 46660

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0152513234

censusDivision 3

cbsaActualGeographicLocation 46660

providerType 38

caseMixIndex 0.1

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0152513234

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.