CCN: 250048 NPI: 1306876065 Organization

ST DOMINIC-JACKSON MEMORIAL HOSPITAL

969 LAKELAND DR
JACKSON, MS 392164606

Contact Information

Phone 6012002000
Fax 6012000924
Enumeration Date 2006-07-05
Last Updated 2025-09-18

Taxonomies

Code: 282N00000X (Primary) License State: MS License: 14-031

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.252

medicaidRatio 0.2028

uncompensatedCareAmount 820.91

vbpAdjustment 0.9935621522

hhrAdjustment 0.993

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.252

medicaidRatio 0.2028

uncompensatedCareAmount 820.91

vbpAdjustment 0.9935621522

hhrAdjustment 0.993

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.252

medicaidRatio 0.1902

uncompensatedCareAmount 820.91

vbpAdjustment 0.9935621522

hhrAdjustment 0.993

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.252

medicaidRatio 0.1902

uncompensatedCareAmount 694.59

vbpAdjustment 0.9912617326

hhrAdjustment 0.994

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.296

medicaidRatio 0.1902

uncompensatedCareAmount 694.59

vbpAdjustment 0.9912617326

hhrAdjustment 0.994

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.296

medicaidRatio 0.1902

uncompensatedCareAmount 694.59

vbpAdjustment 0.9912617326

hhrAdjustment 0.994

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.296

medicaidRatio 0.1857

uncompensatedCareAmount 730.06

vbpAdjustment 0.9905186853

hhrAdjustment 0.9934

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.35

medicaidRatio 0.1857

uncompensatedCareAmount 730.06

vbpAdjustment 0.9905186853

hhrAdjustment 0.9934

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.35

medicaidRatio 0.1857

uncompensatedCareAmount 730.06

vbpAdjustment 0.9905186853

hhrAdjustment 0.9934

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.34

medicaidRatio 0.1857

uncompensatedCareAmount 730.06

vbpAdjustment 0.9905186853

hhrAdjustment 0.9934

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.34

medicaidRatio 0.2018

uncompensatedCareAmount 730.06

vbpAdjustment 0.9905186853

hhrAdjustment 0.9934

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.313

medicaidRatio 0.2018

uncompensatedCareAmount 730.06

vbpAdjustment 0.9905186853

hhrAdjustment 0.9934

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.313

medicaidRatio 0.2018

uncompensatedCareAmount 654.5

hhrAdjustment 0.9976

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.313

medicaidRatio 0.2018

uncompensatedCareAmount 654.5

hhrAdjustment 0.9976

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.307

medicaidRatio 0.2018

uncompensatedCareAmount 654.5

hhrAdjustment 0.9976

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.307

medicaidRatio 0.194

uncompensatedCareAmount 654.5

hhrAdjustment 0.9976

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.307

medicaidRatio 0.194

uncompensatedCareAmount 671.3

hhrAdjustment 0.9932

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.348

medicaidRatio 0.194

uncompensatedCareAmount 671.3

hhrAdjustment 0.9932

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.348

medicaidRatio 0.194

uncompensatedCareAmount 671.3

hhrAdjustment 0.9932

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.348

medicaidRatio 0.1867

uncompensatedCareAmount 671.3

hhrAdjustment 0.9932

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.348

medicaidRatio 0.1867

uncompensatedCareAmount 671.3

hhrAdjustment 0.9932

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.348

medicaidRatio 0.1867

uncompensatedCareAmount 612.69

vbpAdjustment 0.9949157678

hhrAdjustment 0.9939

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.365

medicaidRatio 0.1867

uncompensatedCareAmount 612.69

vbpAdjustment 0.9949157678

hhrAdjustment 0.9939

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.365

medicaidRatio 0.1755

uncompensatedCareAmount 612.69

vbpAdjustment 0.9949157678

hhrAdjustment 0.9939

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.346

medicaidRatio 0.1755

uncompensatedCareAmount 612.69

vbpAdjustment 0.9949157678

hhrAdjustment 0.9939

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.346

medicaidRatio 0.1755

uncompensatedCareAmount 774.61

vbpAdjustment 0.9942533412

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.346

medicaidRatio 0.1755

uncompensatedCareAmount 774.61

vbpAdjustment 0.9942533412

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.346

medicaidRatio 0.1783

uncompensatedCareAmount 774.61

vbpAdjustment 0.9942533412

hhrAdjustment 0.9961

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.346

medicaidRatio 0.1783

uncompensatedCareAmount 710.4

vbpAdjustment 1.0006921705

hhrAdjustment 0.9932

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.34

medicaidRatio 0.1783

uncompensatedCareAmount 710.4

vbpAdjustment 1.0006921705

hhrAdjustment 0.9932

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.34

medicaidRatio 0.1783

uncompensatedCareAmount 710.4

vbpAdjustment 1.0006921705

hhrAdjustment 0.9932

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.34

medicaidRatio 0.1836

uncompensatedCareAmount 710.4

vbpAdjustment 1.0006921705

hhrAdjustment 0.9932

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.34

medicaidRatio 0.1836

uncompensatedCareAmount 555.55

vbpAdjustment 0.9996924346

hhrAdjustment 0.9967

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.329

medicaidRatio 0.1836

uncompensatedCareAmount 555.55

vbpAdjustment 0.9996924346

hhrAdjustment 0.9967

censusDivision 5

cbsaActualGeographicLocation 27140

providerType 00

caseMixIndex 1.5923

operatingCostToChargeRatio 0.329

medicaidRatio 0.1836

uncompensatedCareAmount 555.55

vbpAdjustment 0.9996924346

hhrAdjustment 0.9967

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.169

deviceCostToChargeRatio 0.52

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.169

deviceCostToChargeRatio 0.52

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.176

deviceCostToChargeRatio 0.513

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.176

deviceCostToChargeRatio 0.513

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.197

deviceCostToChargeRatio 0.888

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.853

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.853

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.184

deviceCostToChargeRatio 0.807

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.184

deviceCostToChargeRatio 0.807

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.181

deviceCostToChargeRatio 0.793

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.207

deviceCostToChargeRatio 0.718

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.207

deviceCostToChargeRatio 0.718

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.238

deviceCostToChargeRatio 0.684

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.238

deviceCostToChargeRatio 0.684

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.228

deviceCostToChargeRatio 0.668

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.228

deviceCostToChargeRatio 0.668

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.222

deviceCostToChargeRatio 0.65

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.222

deviceCostToChargeRatio 0.65

specialPaymentIndicator

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 27140

providerType 00

operatingCostToChargeRatio 0.208

deviceCostToChargeRatio 0.591

specialPaymentIndicator

carrierCode 07302

localityCode 00

ST DOMINIC-JACKSON MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

Supercharge Your Revenue Cycle Analytics