CCN: 140167 NPI: 1629003470 Organization

IROQUOIS MEMORIAL HOSPITAL

200 E FAIRMAN AVE
WATSEKA, IL 609701644

Contact Information

Phone 8154325841
Fax 8154327821
Enumeration Date 2006-07-11
Last Updated 2025-02-25

Taxonomies

Code: 275N00000X
Code: 282NR1301X License State: IL License: 0001107
Code: 3336C0002X
Code: 3336C0003X
Code: 3336L0003X
Code: 282NC0060X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.421

medicaidRatio 0.1079

uncompensatedCareAmount 735.84

hhrAdjustment 0.9987

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.421

medicaidRatio 0.1079

uncompensatedCareAmount 735.84

hhrAdjustment 0.9987

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.419

medicaidRatio 0.0995

uncompensatedCareAmount 735.84

hhrAdjustment 0.9987

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.419

medicaidRatio 0.0995

uncompensatedCareAmount 735.84

hhrAdjustment 0.9987

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.419

medicaidRatio 0.0995

uncompensatedCareAmount 735.84

hhrAdjustment 0.9987

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.419

medicaidRatio 0.0995

uncompensatedCareAmount 735.84

hhrAdjustment 0.9987

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.419

medicaidRatio 0.0995

uncompensatedCareAmount 278.91

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.492

medicaidRatio 0.1494

uncompensatedCareAmount 278.91

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.492

medicaidRatio 0.1494

uncompensatedCareAmount 278.91

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.492

medicaidRatio 0.1494

uncompensatedCareAmount 278.91

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.492

medicaidRatio 0.1494

uncompensatedCareAmount 906.95

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.524

medicaidRatio 0.1085

uncompensatedCareAmount 906.95

hhrAdjustment 0.9999

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.524

medicaidRatio 0.1085

uncompensatedCareAmount 865.58

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.449

medicaidRatio 0.1037

uncompensatedCareAmount 865.58

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.449

medicaidRatio 0.1037

uncompensatedCareAmount 865.58

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.449

medicaidRatio 0.1037

uncompensatedCareAmount 652.83

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.449

medicaidRatio 0.1037

uncompensatedCareAmount 652.83

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.43

medicaidRatio 0.2941

uncompensatedCareAmount 652.83

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.43

medicaidRatio 0.2941

uncompensatedCareAmount 652.83

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.43

medicaidRatio 0.2941

uncompensatedCareAmount 413.54

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.433

medicaidRatio 0.2183

uncompensatedCareAmount 413.54

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 14

providerType 16

caseMixIndex 0.993

operatingCostToChargeRatio 0.433

medicaidRatio 0.2183

uncompensatedCareAmount 413.54

hhrAdjustment 0.9977

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.322

deviceCostToChargeRatio 0.627

specialPaymentIndicator Y

costOfLivingAdjustment 0.805

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.307

deviceCostToChargeRatio 0.57

specialPaymentIndicator Y

costOfLivingAdjustment 0.805

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.307

deviceCostToChargeRatio 0.57

specialPaymentIndicator Y

costOfLivingAdjustment 0.805

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.374

deviceCostToChargeRatio 0.42

specialPaymentIndicator Y

costOfLivingAdjustment 0.805

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.374

deviceCostToChargeRatio 0.42

specialPaymentIndicator Y

costOfLivingAdjustment 0.805

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.318

deviceCostToChargeRatio 0.581

specialPaymentIndicator Y

costOfLivingAdjustment 0.805

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.318

deviceCostToChargeRatio 0.581

specialPaymentIndicator Y

costOfLivingAdjustment 0.805

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.279

deviceCostToChargeRatio 0.385

specialPaymentIndicator Y

costOfLivingAdjustment 0.805

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.279

deviceCostToChargeRatio 0.385

specialPaymentIndicator

costOfLivingAdjustment 0.805

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.28

deviceCostToChargeRatio 0.618

specialPaymentIndicator

costOfLivingAdjustment 0.805

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.28

deviceCostToChargeRatio 0.618

specialPaymentIndicator

costOfLivingAdjustment 0.805

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 16

operatingCostToChargeRatio 0.275

deviceCostToChargeRatio 0.411

specialPaymentIndicator

costOfLivingAdjustment 0.805

carrierCode 06102

localityCode 99

IROQUOIS MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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