CCN: 260175 NPI: 1710075361 Organization

GOLDEN VALLEY MEMORIAL HOSPITAL

1600 N 2ND ST
CLINTON, MO 647351192

Contact Information

Phone 6608907103
Fax 6608856496
Enumeration Date 2006-10-10
Last Updated 2019-12-30

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.297

medicaidRatio 0.2355

uncompensatedCareAmount 2238.19

vbpAdjustment 1.003705033

hhrAdjustment 0.9992

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.297

medicaidRatio 0.2355

uncompensatedCareAmount 2238.19

vbpAdjustment 1.003705033

hhrAdjustment 0.9992

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.297

medicaidRatio 0.2355

uncompensatedCareAmount 2238.19

vbpAdjustment 1.003705033

hhrAdjustment 0.9992

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.314

medicaidRatio 0.2516

uncompensatedCareAmount 2238.19

vbpAdjustment 1.003705033

hhrAdjustment 0.9992

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.314

medicaidRatio 0.2516

uncompensatedCareAmount 1859.72

vbpAdjustment 0.9952145262

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.314

medicaidRatio 0.2516

uncompensatedCareAmount 1859.72

vbpAdjustment 0.9952145262

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.314

medicaidRatio 0.2516

uncompensatedCareAmount 1859.72

vbpAdjustment 0.9952145262

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.33

medicaidRatio 0.2406

uncompensatedCareAmount 1859.72

vbpAdjustment 0.9952145262

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.33

medicaidRatio 0.2406

uncompensatedCareAmount 1242.78

vbpAdjustment 1.0079971022

hhrAdjustment 0.9989

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.33

medicaidRatio 0.2406

uncompensatedCareAmount 1242.78

vbpAdjustment 1.0079971022

hhrAdjustment 0.9989

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.334

medicaidRatio 0.2037

uncompensatedCareAmount 1242.78

vbpAdjustment 1.0079971022

hhrAdjustment 0.9989

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.334

medicaidRatio 0.2037

uncompensatedCareAmount 1138.4

hhrAdjustment 0.9791

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.334

medicaidRatio 0.2037

uncompensatedCareAmount 1138.4

hhrAdjustment 0.9791

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.334

medicaidRatio 0.2037

uncompensatedCareAmount 1138.4

hhrAdjustment 0.9791

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.334

medicaidRatio 0.2037

uncompensatedCareAmount 1138.4

hhrAdjustment 0.9791

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.349

medicaidRatio 0.2207

uncompensatedCareAmount 1138.4

hhrAdjustment 0.9791

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.349

medicaidRatio 0.2207

uncompensatedCareAmount 1138.4

hhrAdjustment 0.9791

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.349

medicaidRatio 0.2207

uncompensatedCareAmount 480.94

hhrAdjustment 0.9744

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.349

medicaidRatio 0.2207

uncompensatedCareAmount 480.94

hhrAdjustment 0.9744

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.349

medicaidRatio 0.2207

uncompensatedCareAmount 480.94

hhrAdjustment 0.9744

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.318

medicaidRatio 0.2048

uncompensatedCareAmount 480.94

hhrAdjustment 0.9744

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.318

medicaidRatio 0.2048

uncompensatedCareAmount 1446.0

vbpAdjustment 1.0113284585

hhrAdjustment 0.979

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.312

medicaidRatio 0.247

uncompensatedCareAmount 1446.0

vbpAdjustment 1.0113284585

hhrAdjustment 0.979

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.312

medicaidRatio 0.247

uncompensatedCareAmount 1568.52

hhrAdjustment 0.9992

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.312

medicaidRatio 0.247

uncompensatedCareAmount 1568.52

hhrAdjustment 0.9992

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.32

medicaidRatio 0.2559

uncompensatedCareAmount 1568.52

hhrAdjustment 0.9992

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.32

medicaidRatio 0.2559

uncompensatedCareAmount 1154.17

hhrAdjustment 0.9964

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.32

medicaidRatio 0.2559

uncompensatedCareAmount 1154.17

hhrAdjustment 0.9964

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.32

medicaidRatio 0.2559

uncompensatedCareAmount 1154.17

hhrAdjustment 0.9964

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.336

medicaidRatio 0.2359

uncompensatedCareAmount 1154.17

hhrAdjustment 0.9964

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.336

medicaidRatio 0.2359

uncompensatedCareAmount 700.84

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.336

medicaidRatio 0.2359

uncompensatedCareAmount 700.84

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 26

providerType 17

caseMixIndex 1.0781

operatingCostToChargeRatio 0.335

medicaidRatio 0.2709

uncompensatedCareAmount 700.84

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.534

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.534

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.513

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.513

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.23

deviceCostToChargeRatio 0.436

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.23

deviceCostToChargeRatio 0.436

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.526

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.242

deviceCostToChargeRatio 0.526

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.244

deviceCostToChargeRatio 0.591

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.244

deviceCostToChargeRatio 0.591

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.238

deviceCostToChargeRatio 0.522

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.238

deviceCostToChargeRatio 0.522

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.492

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.492

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.381

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.381

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

cbsaActualGeographicLocation 26

providerType 17

operatingCostToChargeRatio 0.239

deviceCostToChargeRatio 0.46

specialPaymentIndicator Y

costOfLivingAdjustment 0.969

carrierCode 05302

localityCode 99

GOLDEN VALLEY MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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