CCN: 250093 NPI: 1457321036 Organization

BOLIVAR MEDICAL CENTER

901 E SUNFLOWER RD
CLEVELAND, MS 387322833

Contact Information

Phone 6628460061
Fax 6628462380
Enumeration Date 2006-01-25
Last Updated 2025-06-10

Taxonomies

Code: 282N00000X (Primary) License State: MS License: 16224

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.114

medicaidRatio 0.2144

uncompensatedCareAmount 834.94

vbpAdjustment 0.9969526903

hhrAdjustment 0.9954

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.114

medicaidRatio 0.2144

uncompensatedCareAmount 834.94

vbpAdjustment 0.9969526903

hhrAdjustment 0.9954

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.114

medicaidRatio 0.2253

uncompensatedCareAmount 834.94

vbpAdjustment 0.9969526903

hhrAdjustment 0.9954

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.114

medicaidRatio 0.2253

uncompensatedCareAmount 834.94

vbpAdjustment 0.9969526903

hhrAdjustment 0.9954

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.115

medicaidRatio 0.2253

uncompensatedCareAmount 834.94

vbpAdjustment 0.9969526903

hhrAdjustment 0.9954

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.115

medicaidRatio 0.2253

uncompensatedCareAmount 620.21

vbpAdjustment 0.9970044704

hhrAdjustment 0.9964

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.115

medicaidRatio 0.2253

uncompensatedCareAmount 620.21

vbpAdjustment 0.9970044704

hhrAdjustment 0.9964

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.115

medicaidRatio 0.2588

uncompensatedCareAmount 620.21

vbpAdjustment 0.9970044704

hhrAdjustment 0.9964

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.124

medicaidRatio 0.2588

uncompensatedCareAmount 620.21

vbpAdjustment 0.9970044704

hhrAdjustment 0.9964

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.124

medicaidRatio 0.2588

uncompensatedCareAmount 582.19

vbpAdjustment 1.0087879807

hhrAdjustment 0.9991

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.124

medicaidRatio 0.2588

uncompensatedCareAmount 582.19

vbpAdjustment 1.0087879807

hhrAdjustment 0.9991

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.124

medicaidRatio 0.2711

uncompensatedCareAmount 582.19

vbpAdjustment 1.0087879807

hhrAdjustment 0.9991

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.13

medicaidRatio 0.2711

uncompensatedCareAmount 582.19

vbpAdjustment 1.0087879807

hhrAdjustment 0.9991

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.13

medicaidRatio 0.2711

uncompensatedCareAmount 396.87

hhrAdjustment 0.9944

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.13

medicaidRatio 0.2711

uncompensatedCareAmount 396.87

hhrAdjustment 0.9944

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.137

medicaidRatio 0.2711

uncompensatedCareAmount 396.87

hhrAdjustment 0.9944

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.137

medicaidRatio 0.2711

uncompensatedCareAmount 396.87

hhrAdjustment 0.9944

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.137

medicaidRatio 0.2427

uncompensatedCareAmount 396.87

hhrAdjustment 0.9944

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.137

medicaidRatio 0.2427

uncompensatedCareAmount 299.71

hhrAdjustment 0.9899

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.137

medicaidRatio 0.2427

uncompensatedCareAmount 299.71

hhrAdjustment 0.9899

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.137

medicaidRatio 0.1921

uncompensatedCareAmount 299.71

hhrAdjustment 0.9899

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.137

medicaidRatio 0.1921

uncompensatedCareAmount 299.71

hhrAdjustment 0.9899

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.132

medicaidRatio 0.1921

uncompensatedCareAmount 299.71

hhrAdjustment 0.9899

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.132

medicaidRatio 0.1921

uncompensatedCareAmount 428.41

vbpAdjustment 1.0030953824

hhrAdjustment 0.9811

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.132

medicaidRatio 0.2662

uncompensatedCareAmount 428.41

vbpAdjustment 1.0030953824

hhrAdjustment 0.9811

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.126

medicaidRatio 0.2662

uncompensatedCareAmount 428.41

vbpAdjustment 1.0030953824

hhrAdjustment 0.9811

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.126

medicaidRatio 0.2662

uncompensatedCareAmount 602.02

vbpAdjustment 1.0114556495

hhrAdjustment 0.981

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.126

medicaidRatio 0.2662

uncompensatedCareAmount 602.02

vbpAdjustment 1.0114556495

hhrAdjustment 0.981

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.126

medicaidRatio 0.273

uncompensatedCareAmount 602.02

vbpAdjustment 1.0114556495

hhrAdjustment 0.981

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.143

medicaidRatio 0.273

uncompensatedCareAmount 602.02

vbpAdjustment 1.0114556495

hhrAdjustment 0.981

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.143

medicaidRatio 0.273

uncompensatedCareAmount 756.57

vbpAdjustment 1.0098649883

hhrAdjustment 0.982

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.143

medicaidRatio 0.273

uncompensatedCareAmount 756.57

vbpAdjustment 1.0098649883

hhrAdjustment 0.982

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.143

medicaidRatio 0.3042

uncompensatedCareAmount 756.57

vbpAdjustment 1.0098649883

hhrAdjustment 0.982

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.143

medicaidRatio 0.3042

uncompensatedCareAmount 756.57

vbpAdjustment 1.0098649883

hhrAdjustment 0.982

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.161

medicaidRatio 0.3042

uncompensatedCareAmount 756.57

vbpAdjustment 1.0098649883

hhrAdjustment 0.982

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.161

medicaidRatio 0.3042

uncompensatedCareAmount 812.84

vbpAdjustment 1.0069575044

hhrAdjustment 0.9809

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.161

medicaidRatio 0.3042

uncompensatedCareAmount 812.84

vbpAdjustment 1.0069575044

hhrAdjustment 0.9809

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.161

medicaidRatio 0.3167

uncompensatedCareAmount 812.84

vbpAdjustment 1.0069575044

hhrAdjustment 0.9809

censusDivision 5

cbsaActualGeographicLocation 25

providerType 16

caseMixIndex 1.2933

operatingCostToChargeRatio 0.18

medicaidRatio 0.3167

uncompensatedCareAmount 812.84

vbpAdjustment 1.0069575044

hhrAdjustment 0.9809

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.066

deviceCostToChargeRatio 0.197

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.066

deviceCostToChargeRatio 0.197

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.067

deviceCostToChargeRatio 0.236

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.07

deviceCostToChargeRatio 0.23

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.07

deviceCostToChargeRatio 0.23

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.07

deviceCostToChargeRatio 0.23

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.075

deviceCostToChargeRatio 0.274

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.075

deviceCostToChargeRatio 0.274

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.085

deviceCostToChargeRatio 0.384

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.085

deviceCostToChargeRatio 0.384

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.075

deviceCostToChargeRatio 0.24

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.075

deviceCostToChargeRatio 0.24

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.084

deviceCostToChargeRatio 0.08

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.084

deviceCostToChargeRatio 0.08

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.093

deviceCostToChargeRatio 0.092

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.093

deviceCostToChargeRatio 0.092

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

cbsaActualGeographicLocation 25

providerType 16

operatingCostToChargeRatio 0.093

deviceCostToChargeRatio 0.092

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 07302

localityCode 00

BOLIVAR MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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