CCN: 180066 NPI: 1992893416 Organization

THE MEDICAL CENTER AT RUSSELLVILLE

1625 NASHVILLE ST
RUSSELLVILLE, KY 422768853

Contact Information

Phone 2707264011
Fax 2707267465
Enumeration Date 2006-10-10
Last Updated 2025-06-24

Taxonomies

Code: 282NR1301X (Primary) License State: KY License: 73

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.262

medicaidRatio 0.1392

uncompensatedCareAmount 746.55

vbpAdjustment 1.0027568317

hhrAdjustment 0.998

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.262

medicaidRatio 0.1392

uncompensatedCareAmount 746.55

vbpAdjustment 1.0027568317

hhrAdjustment 0.998

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.262

medicaidRatio 0.1392

uncompensatedCareAmount 746.55

vbpAdjustment 1.0027568317

hhrAdjustment 0.998

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.262

medicaidRatio 0.1392

uncompensatedCareAmount 746.55

vbpAdjustment 1.0027568317

hhrAdjustment 0.998

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.208

medicaidRatio 0.1392

uncompensatedCareAmount 746.55

vbpAdjustment 1.0027568317

hhrAdjustment 0.998

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.208

medicaidRatio 0.1392

uncompensatedCareAmount 493.25

hhrAdjustment 0.996

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.208

medicaidRatio 0.1392

uncompensatedCareAmount 493.25

hhrAdjustment 0.996

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.208

medicaidRatio 0.1392

uncompensatedCareAmount 493.25

hhrAdjustment 0.996

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.208

medicaidRatio 0.1392

uncompensatedCareAmount 493.25

hhrAdjustment 0.996

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.208

medicaidRatio 0.1392

uncompensatedCareAmount 418.48

hhrAdjustment 0.994

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.255

medicaidRatio 0.1702

uncompensatedCareAmount 418.48

hhrAdjustment 0.994

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.255

medicaidRatio 0.1702

uncompensatedCareAmount 418.48

hhrAdjustment 0.994

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.255

medicaidRatio 0.1702

uncompensatedCareAmount 261.11

hhrAdjustment 0.9988

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.204

medicaidRatio 0.1726

uncompensatedCareAmount 261.11

hhrAdjustment 0.9988

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.204

medicaidRatio 0.1726

uncompensatedCareAmount 261.11

hhrAdjustment 0.9988

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.204

medicaidRatio 0.1726

uncompensatedCareAmount 261.11

hhrAdjustment 0.9988

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.204

medicaidRatio 0.1726

uncompensatedCareAmount 261.11

hhrAdjustment 0.9988

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.204

medicaidRatio 0.1726

uncompensatedCareAmount 238.8

hhrAdjustment 0.9981

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.213

medicaidRatio 0.1319

uncompensatedCareAmount 238.8

hhrAdjustment 0.9981

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.213

medicaidRatio 0.1319

uncompensatedCareAmount 238.8

hhrAdjustment 0.9981

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.213

medicaidRatio 0.1319

uncompensatedCareAmount 238.8

hhrAdjustment 0.9981

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.213

medicaidRatio 0.1319

uncompensatedCareAmount 238.8

hhrAdjustment 0.9981

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.197

medicaidRatio 0.1576

uncompensatedCareAmount 238.8

hhrAdjustment 0.9981

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.197

medicaidRatio 0.1576

uncompensatedCareAmount 326.21

vbpAdjustment 1.0053051258

hhrAdjustment 0.9971

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.197

medicaidRatio 0.1576

uncompensatedCareAmount 326.21

vbpAdjustment 1.0053051258

hhrAdjustment 0.9971

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.197

medicaidRatio 0.1971

uncompensatedCareAmount 326.21

vbpAdjustment 1.0053051258

hhrAdjustment 0.9971

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.225

medicaidRatio 0.1971

uncompensatedCareAmount 326.21

vbpAdjustment 1.0053051258

hhrAdjustment 0.9971

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.225

medicaidRatio 0.1971

uncompensatedCareAmount 292.24

vbpAdjustment 1.0107067054

hhrAdjustment 0.9977

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.225

medicaidRatio 0.1971

uncompensatedCareAmount 292.24

vbpAdjustment 1.0107067054

hhrAdjustment 0.9977

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.225

medicaidRatio 0.1971

uncompensatedCareAmount 292.24

vbpAdjustment 1.0107067054

hhrAdjustment 0.9977

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.225

medicaidRatio 0.1971

uncompensatedCareAmount 297.4

vbpAdjustment 1.0069258942

hhrAdjustment 0.9963

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.225

medicaidRatio 0.1971

uncompensatedCareAmount 297.4

vbpAdjustment 1.0069258942

hhrAdjustment 0.9963

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.216

medicaidRatio 0.168

uncompensatedCareAmount 297.4

vbpAdjustment 1.0069258942

hhrAdjustment 0.9963

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.216

medicaidRatio 0.168

uncompensatedCareAmount 297.4

vbpAdjustment 1.0069258942

hhrAdjustment 0.9963

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.216

medicaidRatio 0.168

uncompensatedCareAmount 297.4

vbpAdjustment 1.0069258942

hhrAdjustment 0.9963

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.216

medicaidRatio 0.168

uncompensatedCareAmount 297.4

vbpAdjustment 1.0069258942

hhrAdjustment 0.9963

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.216

medicaidRatio 0.168

uncompensatedCareAmount 204.74

vbpAdjustment 1.0108361087

hhrAdjustment 0.9956

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.206

medicaidRatio 0.1769

uncompensatedCareAmount 204.74

vbpAdjustment 1.0108361087

hhrAdjustment 0.9956

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.206

medicaidRatio 0.1769

uncompensatedCareAmount 204.74

vbpAdjustment 1.0108361087

hhrAdjustment 0.9956

censusDivision 5

cbsaActualGeographicLocation 18

providerType 14

caseMixIndex 1.0315

operatingCostToChargeRatio 0.206

medicaidRatio 0.1714

uncompensatedCareAmount 204.74

vbpAdjustment 1.0108361087

hhrAdjustment 0.9956

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 18

providerType 14

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.003

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 14

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.003

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 14

operatingCostToChargeRatio 0.113

deviceCostToChargeRatio 0.003

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 14

operatingCostToChargeRatio 0.111

deviceCostToChargeRatio 0.274

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.111

deviceCostToChargeRatio 0.274

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.111

deviceCostToChargeRatio 0.274

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.335

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.119

deviceCostToChargeRatio 0.335

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.109

deviceCostToChargeRatio 0.205

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 14

operatingCostToChargeRatio 0.109

deviceCostToChargeRatio 0.205

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.109

deviceCostToChargeRatio 0.205

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.112

deviceCostToChargeRatio 0.329

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.112

deviceCostToChargeRatio 0.329

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.105

deviceCostToChargeRatio 0.343

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.105

deviceCostToChargeRatio 0.343

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.361

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.123

deviceCostToChargeRatio 0.361

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.117

deviceCostToChargeRatio 0.25

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

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providerType 00

operatingCostToChargeRatio 0.117

deviceCostToChargeRatio 0.25

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.117

deviceCostToChargeRatio 0.322

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.117

deviceCostToChargeRatio 0.322

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.134

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.134

specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

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specialPaymentIndicator

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.142

specialPaymentIndicator 1

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

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specialPaymentIndicator 1

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carrierCode 15102

localityCode 00

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carrierCode 15102

localityCode 00

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specialPaymentIndicator 1

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carrierCode 15102

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cbsaActualGeographicLocation 18

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specialPaymentIndicator 1

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

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specialPaymentIndicator 1

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.203

specialPaymentIndicator 1

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

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specialPaymentIndicator 1

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 14

operatingCostToChargeRatio 0.22

specialPaymentIndicator 1

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 14

operatingCostToChargeRatio 0.22

specialPaymentIndicator 1

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 14

operatingCostToChargeRatio 0.22

specialPaymentIndicator 1

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 14

operatingCostToChargeRatio 0.274

specialPaymentIndicator 1

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.274

specialPaymentIndicator Y

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.252

specialPaymentIndicator Y

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.252

specialPaymentIndicator Y

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.235

specialPaymentIndicator Y

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.235

specialPaymentIndicator Y

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.255

specialPaymentIndicator Y

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.254

specialPaymentIndicator Y

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.254

specialPaymentIndicator Y

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.235

specialPaymentIndicator Y

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 18

providerType 00

operatingCostToChargeRatio 0.235

specialPaymentIndicator 2

costOfLivingAdjustment 0.804

carrierCode 15102

localityCode 00

THE MEDICAL CENTER AT RUSSELLVILLE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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