CCN: 140164 NPI: 1093801797 Organization

MEMORIAL HOSPITAL OF CARBONDALE

405 W JACKSON
CARBONDALE, IL 629011000

Contact Information

Phone 6184575200
Enumeration Date 2006-10-04
Last Updated 2013-02-05

Taxonomies

Code: 282N00000X (Primary) License State: IL License: 0000513

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 14

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.252

medicaidRatio 0.2645

uncompensatedCareAmount 787.91

internsToBedsRatio 0.0548

vbpAdjustment 0.9880453445

hhrAdjustment 0.9952

censusDivision 4

cbsaActualGeographicLocation 14

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.252

medicaidRatio 0.2645

uncompensatedCareAmount 787.91

internsToBedsRatio 0.0548

vbpAdjustment 0.9880453445

hhrAdjustment 0.9952

censusDivision 4

cbsaActualGeographicLocation 14

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.274

medicaidRatio 0.2975

uncompensatedCareAmount 787.91

internsToBedsRatio 0.0505

vbpAdjustment 0.9880453445

hhrAdjustment 0.9952

censusDivision 4

cbsaActualGeographicLocation 14

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.274

medicaidRatio 0.2975

uncompensatedCareAmount 581.26

internsToBedsRatio 0.0505

vbpAdjustment 0.993722906

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 14

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.274

medicaidRatio 0.2975

uncompensatedCareAmount 581.26

internsToBedsRatio 0.0505

vbpAdjustment 0.993722906

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 14

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.274

medicaidRatio 0.2975

uncompensatedCareAmount 581.26

internsToBedsRatio 0.0505

vbpAdjustment 0.993722906

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 14

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.287

medicaidRatio 0.3056

uncompensatedCareAmount 581.26

internsToBedsRatio 0.0508

vbpAdjustment 0.993722906

hhrAdjustment 0.996

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.287

medicaidRatio 0.3056

uncompensatedCareAmount 469.07

internsToBedsRatio 0.0508

vbpAdjustment 0.9936031118

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.287

medicaidRatio 0.3056

uncompensatedCareAmount 469.07

internsToBedsRatio 0.0508

vbpAdjustment 0.9936031118

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.287

medicaidRatio 0.3056

uncompensatedCareAmount 469.07

internsToBedsRatio 0.0508

vbpAdjustment 0.9936031118

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.282

medicaidRatio 0.3013

uncompensatedCareAmount 469.07

internsToBedsRatio 0.051

vbpAdjustment 0.9936031118

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.282

medicaidRatio 0.3013

uncompensatedCareAmount 427.81

internsToBedsRatio 0.051

hhrAdjustment 0.9904

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.282

medicaidRatio 0.3013

uncompensatedCareAmount 427.81

internsToBedsRatio 0.051

hhrAdjustment 0.9904

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.282

medicaidRatio 0.3013

uncompensatedCareAmount 427.81

internsToBedsRatio 0.051

hhrAdjustment 0.9904

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.282

medicaidRatio 0.3013

uncompensatedCareAmount 427.81

internsToBedsRatio 0.051

hhrAdjustment 0.9904

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.271

medicaidRatio 0.3042

uncompensatedCareAmount 427.81

internsToBedsRatio 0.0501

hhrAdjustment 0.9904

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.271

medicaidRatio 0.3042

uncompensatedCareAmount 370.37

internsToBedsRatio 0.0501

hhrAdjustment 0.9818

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.271

medicaidRatio 0.3042

uncompensatedCareAmount 370.37

internsToBedsRatio 0.0501

hhrAdjustment 0.9818

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.271

medicaidRatio 0.3042

uncompensatedCareAmount 370.37

internsToBedsRatio 0.0501

hhrAdjustment 0.9818

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.271

medicaidRatio 0.3042

uncompensatedCareAmount 370.37

internsToBedsRatio 0.0501

hhrAdjustment 0.9818

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.256

medicaidRatio 0.2973

uncompensatedCareAmount 370.37

internsToBedsRatio 0.0533

hhrAdjustment 0.9818

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.256

medicaidRatio 0.2973

uncompensatedCareAmount 502.69

internsToBedsRatio 0.0533

vbpAdjustment 0.995236537

hhrAdjustment 0.978

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.256

medicaidRatio 0.2973

uncompensatedCareAmount 502.69

internsToBedsRatio 0.0533

vbpAdjustment 0.995236537

hhrAdjustment 0.978

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.253

medicaidRatio 0.2662

uncompensatedCareAmount 502.69

internsToBedsRatio 0.0529

vbpAdjustment 0.995236537

hhrAdjustment 0.978

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.253

medicaidRatio 0.2662

uncompensatedCareAmount 429.33

internsToBedsRatio 0.0529

vbpAdjustment 0.9999172304

hhrAdjustment 0.9866

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.253

medicaidRatio 0.2662

uncompensatedCareAmount 429.33

internsToBedsRatio 0.0529

vbpAdjustment 0.9999172304

hhrAdjustment 0.9866

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.253

medicaidRatio 0.2662

uncompensatedCareAmount 429.33

internsToBedsRatio 0.0529

vbpAdjustment 0.9999172304

hhrAdjustment 0.9866

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.262

medicaidRatio 0.2551

uncompensatedCareAmount 429.33

internsToBedsRatio 0.0557

vbpAdjustment 0.9999172304

hhrAdjustment 0.9866

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.262

medicaidRatio 0.2551

uncompensatedCareAmount 509.49

internsToBedsRatio 0.0557

vbpAdjustment 0.9992226234

hhrAdjustment 0.9844

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.262

medicaidRatio 0.2551

uncompensatedCareAmount 509.49

internsToBedsRatio 0.0557

vbpAdjustment 0.9992226234

hhrAdjustment 0.9844

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.262

medicaidRatio 0.26

uncompensatedCareAmount 509.49

internsToBedsRatio 0.0553

vbpAdjustment 0.9992226234

hhrAdjustment 0.9844

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.262

medicaidRatio 0.26

uncompensatedCareAmount 509.49

internsToBedsRatio 0.0553

vbpAdjustment 0.9992226234

hhrAdjustment 0.9844

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.262

medicaidRatio 0.2613

uncompensatedCareAmount 509.49

internsToBedsRatio 0.055

vbpAdjustment 0.9992226234

hhrAdjustment 0.9844

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.264

medicaidRatio 0.2378

uncompensatedCareAmount 509.49

internsToBedsRatio 0.0547

vbpAdjustment 0.9992226234

hhrAdjustment 0.9844

censusDivision 4

cbsaActualGeographicLocation 16060

providerType 07

caseMixIndex 1.033

operatingCostToChargeRatio 0.264

medicaidRatio 0.2378

uncompensatedCareAmount 482.08

internsToBedsRatio 0.0547

vbpAdjustment 1.0043729154

hhrAdjustment 0.9869

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 14

providerType 07

operatingCostToChargeRatio 0.185

deviceCostToChargeRatio 0.46

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 07

operatingCostToChargeRatio 0.185

deviceCostToChargeRatio 0.46

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 07

operatingCostToChargeRatio 0.183

deviceCostToChargeRatio 0.459

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 16060

providerType 07

operatingCostToChargeRatio 0.183

deviceCostToChargeRatio 0.459

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 16060

providerType 07

operatingCostToChargeRatio 0.202

deviceCostToChargeRatio 0.487

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 16060

providerType 07

operatingCostToChargeRatio 0.202

deviceCostToChargeRatio 0.487

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 16060

providerType 07

operatingCostToChargeRatio 0.203

deviceCostToChargeRatio 0.512

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 16060

providerType 07

operatingCostToChargeRatio 0.2

deviceCostToChargeRatio 0.467

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 16060

providerType 07

operatingCostToChargeRatio 0.2

deviceCostToChargeRatio 0.467

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 16060

providerType 07

operatingCostToChargeRatio 0.2

deviceCostToChargeRatio 0.467

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 16060

providerType 07

operatingCostToChargeRatio 0.184

deviceCostToChargeRatio 0.461

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 16060

providerType 07

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.42

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 16060

providerType 07

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.42

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 16060

providerType 07

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.343

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 16060

providerType 07

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.343

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 16060

providerType 07

operatingCostToChargeRatio 0.179

deviceCostToChargeRatio 0.277

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

MEMORIAL HOSPITAL OF CARBONDALE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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