CCN: 115681 NPI: 1467409987 Organization

PRUITTHEALTH - OLD CAPITOL

310 HIGHWAY 1 BYPASS
LOUISVILLE, GA 304346432

Contact Information

Phone 4786253741
Fax 4786259473
Enumeration Date 2006-05-29
Last Updated 2021-04-07

Taxonomies

Code: 314000000X (Primary) License State: GA License: 1-081-1569

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 11

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0055364501

censusDivision 4

cbsaActualGeographicLocation 11

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 11

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9945533268

censusDivision 3

cbsaActualGeographicLocation 11

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 0.9899121874

censusDivision 3

cbsaActualGeographicLocation 11

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0027880417

censusDivision 3

cbsaActualGeographicLocation 11

providerType 38

caseMixIndex 1.0

operatingCostToChargeRatio 1.0

vbpAdjustment 1.0027880417

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.