CCN: 140160 NPI: 1447228788 Organization

FHN MEMORIAL HOSPITAL

1045 W STEPHENSON ST
FREEPORT, IL 610324864

Contact Information

Phone 8155996000
Enumeration Date 2006-03-11
Last Updated 2026-04-02

Taxonomies

Code: 282N00000X (Primary) License State: IL License: 059-003025

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 14

providerType 07

caseMixIndex 1.0525

operatingCostToChargeRatio 0.25

medicaidRatio 0.1435

uncompensatedCareAmount 742.51

vbpAdjustment 1.0013776298

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 14

providerType 07

caseMixIndex 1.0525

operatingCostToChargeRatio 0.25

medicaidRatio 0.1435

uncompensatedCareAmount 742.51

vbpAdjustment 1.0013776298

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.25

medicaidRatio 0.1435

uncompensatedCareAmount 742.51

vbpAdjustment 1.0013776298

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.25

medicaidRatio 0.1435

uncompensatedCareAmount 549.69

vbpAdjustment 1.0029336608

hhrAdjustment 0.9996

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.251

medicaidRatio 0.1627

uncompensatedCareAmount 549.69

vbpAdjustment 1.0029336608

hhrAdjustment 0.9996

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.251

medicaidRatio 0.1627

uncompensatedCareAmount 549.69

vbpAdjustment 1.0029336608

hhrAdjustment 0.9996

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.251

medicaidRatio 0.1627

uncompensatedCareAmount 630.05

vbpAdjustment 1.0020655127

hhrAdjustment 0.9959

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.257

medicaidRatio 0.172

uncompensatedCareAmount 630.05

vbpAdjustment 1.0020655127

hhrAdjustment 0.9959

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.257

medicaidRatio 0.172

uncompensatedCareAmount 630.05

vbpAdjustment 1.0020655127

hhrAdjustment 0.9959

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.257

medicaidRatio 0.172

uncompensatedCareAmount 503.85

hhrAdjustment 0.9807

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.229

medicaidRatio 0.1858

uncompensatedCareAmount 503.85

hhrAdjustment 0.9807

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.229

medicaidRatio 0.1858

uncompensatedCareAmount 503.85

hhrAdjustment 0.9807

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.229

medicaidRatio 0.1858

uncompensatedCareAmount 503.85

hhrAdjustment 0.9807

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.229

medicaidRatio 0.1858

uncompensatedCareAmount 503.85

hhrAdjustment 0.9807

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.229

medicaidRatio 0.1858

uncompensatedCareAmount 509.26

hhrAdjustment 0.9761

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.243

medicaidRatio 0.1871

uncompensatedCareAmount 509.26

hhrAdjustment 0.9761

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.243

medicaidRatio 0.1871

uncompensatedCareAmount 509.26

hhrAdjustment 0.9761

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.243

medicaidRatio 0.1871

uncompensatedCareAmount 509.26

hhrAdjustment 0.9761

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.248

medicaidRatio 0.1817

uncompensatedCareAmount 509.26

hhrAdjustment 0.9761

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.248

medicaidRatio 0.1817

uncompensatedCareAmount 458.58

vbpAdjustment 1.0061961513

hhrAdjustment 0.9821

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.259

medicaidRatio 0.1704

uncompensatedCareAmount 458.58

vbpAdjustment 1.0061961513

hhrAdjustment 0.9821

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.259

medicaidRatio 0.1704

uncompensatedCareAmount 468.43

vbpAdjustment 1.0056279287

hhrAdjustment 0.9832

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.259

medicaidRatio 0.1704

uncompensatedCareAmount 468.43

vbpAdjustment 1.0056279287

hhrAdjustment 0.9832

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.259

medicaidRatio 0.1704

uncompensatedCareAmount 520.99

vbpAdjustment 1.0026120626

hhrAdjustment 0.9916

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.259

medicaidRatio 0.1704

uncompensatedCareAmount 520.99

vbpAdjustment 1.0026120626

hhrAdjustment 0.9916

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.308

medicaidRatio 0.1737

uncompensatedCareAmount 520.99

vbpAdjustment 1.0026120626

hhrAdjustment 0.9916

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.308

medicaidRatio 0.1737

uncompensatedCareAmount 520.99

vbpAdjustment 1.0026120626

hhrAdjustment 0.9916

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.308

medicaidRatio 0.1737

uncompensatedCareAmount 403.68

vbpAdjustment 0.9956589614

hhrAdjustment 0.985

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.312

medicaidRatio 0.187

uncompensatedCareAmount 403.68

vbpAdjustment 0.9956589614

hhrAdjustment 0.985

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 1.0525

operatingCostToChargeRatio 0.312

medicaidRatio 0.187

uncompensatedCareAmount 403.68

vbpAdjustment 0.9956589614

hhrAdjustment 0.985

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 14

providerType 07

operatingCostToChargeRatio 0.212

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.212

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.212

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.204

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.204

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.217

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.217

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.21

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.21

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.203

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.203

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.191

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.191

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.21

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.21

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.203

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.203

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.206

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

FHN MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

Supercharge Your Revenue Cycle Analytics