CCN: 182005 NPI: 1790715985 Organization

COMMONWEALTH REGIONAL SPECIALTY HOSPITAL

250 PARK ST , SIXTH FLOOR
BOWLING GREEN, KY 421011760

Contact Information

Phone 2707966200
Fax 2707966275
Enumeration Date 2006-07-03
Last Updated 2023-01-11

Taxonomies

Code: 282E00000X (Primary) License State: KY License: 100404

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.394

medicaidRatio 0.2475

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.394

medicaidRatio 0.2475

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.394

medicaidRatio 0.2475

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.362

medicaidRatio 0.2194

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.362

medicaidRatio 0.2194

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.362

medicaidRatio 0.2194

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.362

medicaidRatio 0.2194

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.362

medicaidRatio 0.1749

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.362

medicaidRatio 0.1749

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.362

medicaidRatio 0.1749

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.362

medicaidRatio 0.1749

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.362

medicaidRatio 0.1749

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.345

medicaidRatio 0.1602

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.345

medicaidRatio 0.1602

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.345

medicaidRatio 0.1602

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.345

medicaidRatio 0.1602

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.312

medicaidRatio 0.1119

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.312

medicaidRatio 0.1119

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.312

medicaidRatio 0.1119

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.312

medicaidRatio 0.1119

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.312

medicaidRatio 0.1119

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.37

medicaidRatio 0.1119

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.37

medicaidRatio 0.1119

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.37

medicaidRatio 0.1119

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.367

medicaidRatio 0.1119

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.367

medicaidRatio 0.1119

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.367

medicaidRatio 0.1119

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.367

medicaidRatio 0.0861

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.367

medicaidRatio 0.0861

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.367

medicaidRatio 0.0861

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.445

medicaidRatio 0.0861

censusDivision 4

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.445

medicaidRatio 0.0861

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.445

medicaidRatio 0.0861

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.445

medicaidRatio 0.0861

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.445

medicaidRatio 0.0861

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.419

medicaidRatio 0.0448

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.419

medicaidRatio 0.0448

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.419

medicaidRatio 0.0448

censusDivision 0

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.419

medicaidRatio 0.0448

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.511

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.511

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.511

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.314

deviceCostToChargeRatio 0.373

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.314

deviceCostToChargeRatio 0.373

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.314

deviceCostToChargeRatio 0.373

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.308

deviceCostToChargeRatio 0.351

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.308

deviceCostToChargeRatio 0.351

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.216

deviceCostToChargeRatio 0.276

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.216

deviceCostToChargeRatio 0.276

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.223

deviceCostToChargeRatio 0.246

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.223

deviceCostToChargeRatio 0.246

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.377

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.377

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.478

specialPaymentIndicator

carrierCode 15102

localityCode 00

cbsaActualGeographicLocation 14540

providerType 02

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.478

specialPaymentIndicator

carrierCode 15102

localityCode 00

COMMONWEALTH REGIONAL SPECIALTY HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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