CCN: 250079 NPI: 1013004795 Organization

SHARKEY ISSAQUENA COMMUNITY HOSPITAL

47 S FOURTH ST
ROLLING FORK, MS 391595146

Contact Information

Phone 6628734395
Fax 6628735188
Enumeration Date 2006-10-06
Last Updated 2023-07-07

Taxonomies

Code: 282NC0060X
Code: 282N00000X (Primary) License State: MS License: 21-172

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 25

providerType 14

caseMixIndex 0.8268

operatingCostToChargeRatio 1.149

medicaidRatio 0.0847

uncompensatedCareAmount 445.71

hhrAdjustment 0.999

censusDivision 5

cbsaActualGeographicLocation 25

providerType 14

caseMixIndex 0.8268

operatingCostToChargeRatio 1.149

medicaidRatio 0.1264

uncompensatedCareAmount 445.71

hhrAdjustment 0.999

censusDivision 5

cbsaActualGeographicLocation 25

providerType 14

caseMixIndex 0.8268

operatingCostToChargeRatio 0.277

medicaidRatio 0.1264

uncompensatedCareAmount 445.71

hhrAdjustment 0.999

censusDivision 5

cbsaActualGeographicLocation 25

providerType 14

caseMixIndex 0.8268

operatingCostToChargeRatio 0.277

medicaidRatio 0.1264

uncompensatedCareAmount 445.71

hhrAdjustment 0.999

censusDivision 5

cbsaActualGeographicLocation 25

providerType 14

caseMixIndex 0.8268

operatingCostToChargeRatio 0.285

medicaidRatio 0.1264

uncompensatedCareAmount 525.26

hhrAdjustment 0.9924

censusDivision 5

cbsaActualGeographicLocation 25

providerType 14

caseMixIndex 0.8268

operatingCostToChargeRatio 0.285

medicaidRatio 0.2008

uncompensatedCareAmount 525.26

hhrAdjustment 0.9924

censusDivision 5

cbsaActualGeographicLocation 25

providerType 14

caseMixIndex 0.8268

operatingCostToChargeRatio 0.935

medicaidRatio 0.2008

uncompensatedCareAmount 525.26

hhrAdjustment 0.9924

censusDivision 5

cbsaActualGeographicLocation 25

providerType 14

caseMixIndex 0.8268

operatingCostToChargeRatio 0.935

medicaidRatio 0.2008

uncompensatedCareAmount 525.26

hhrAdjustment 0.9924

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 25

providerType 14

operatingCostToChargeRatio 0.221

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 14

operatingCostToChargeRatio 0.252

specialPaymentIndicator

costOfLivingAdjustment 0.892

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 14

operatingCostToChargeRatio 0.252

specialPaymentIndicator Y

costOfLivingAdjustment 0.892

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 14

operatingCostToChargeRatio 0.222

specialPaymentIndicator Y

costOfLivingAdjustment 0.892

carrierCode 07302

localityCode 00