CCN: 140058 NPI: 1174580831 Organization

JACKSONVILLE MEMORIAL HOSPITAL

1600 W WALNUT ST
JACKSONVILLE, IL 62650

Contact Information

Phone 2172459541
Fax 2174798781
Enumeration Date 2006-04-27
Last Updated 2022-11-08

Taxonomies

Code: 282N00000X License State: IL License: 0001792
Code: 282NC0060X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.23

medicaidRatio 0.1796

uncompensatedCareAmount 487.65

hhrAdjustment 0.9991

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.264

medicaidRatio 0.2208

uncompensatedCareAmount 487.65

hhrAdjustment 0.9991

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.264

medicaidRatio 0.2208

uncompensatedCareAmount 487.65

hhrAdjustment 0.9991

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.264

medicaidRatio 0.2208

uncompensatedCareAmount 487.65

hhrAdjustment 0.9991

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.264

medicaidRatio 0.2208

uncompensatedCareAmount 165.99

vbpAdjustment 1.0022132671

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.268

medicaidRatio 0.181

uncompensatedCareAmount 165.99

vbpAdjustment 1.0022132671

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.268

medicaidRatio 0.181

uncompensatedCareAmount 354.74

vbpAdjustment 0.9991916909

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.267

medicaidRatio 0.2186

uncompensatedCareAmount 354.74

vbpAdjustment 0.9991916909

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.267

medicaidRatio 0.2186

uncompensatedCareAmount 354.74

vbpAdjustment 0.9991916909

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.267

medicaidRatio 0.2186

uncompensatedCareAmount 335.45

vbpAdjustment 1.0075895606

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.267

medicaidRatio 0.2186

uncompensatedCareAmount 335.45

vbpAdjustment 1.0075895606

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.275

medicaidRatio 0.1953

uncompensatedCareAmount 335.45

vbpAdjustment 1.0075895606

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.275

medicaidRatio 0.1953

uncompensatedCareAmount 335.45

vbpAdjustment 1.0075895606

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.275

medicaidRatio 0.1953

uncompensatedCareAmount 282.95

vbpAdjustment 1.0079693142

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 14

providerType 17

caseMixIndex 1.0065

operatingCostToChargeRatio 0.302

medicaidRatio 0.1953

uncompensatedCareAmount 282.95

vbpAdjustment 1.0079693142

hhrAdjustment 0.9979

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 14

providerType 17

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.584

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 17

operatingCostToChargeRatio 0.174

deviceCostToChargeRatio 0.466

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 17

operatingCostToChargeRatio 0.174

deviceCostToChargeRatio 0.466

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 17

operatingCostToChargeRatio 0.163

deviceCostToChargeRatio 0.419

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 17

operatingCostToChargeRatio 0.163

deviceCostToChargeRatio 0.419

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 17

operatingCostToChargeRatio 0.166

deviceCostToChargeRatio 0.365

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 17

operatingCostToChargeRatio 0.166

deviceCostToChargeRatio 0.365

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 17

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.418

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 17

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.418

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 17

operatingCostToChargeRatio 0.192

deviceCostToChargeRatio 0.699

specialPaymentIndicator Y

costOfLivingAdjustment 0.82

carrierCode 06102

localityCode 99

JACKSONVILLE MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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