CCN: 260195 NPI: 1003981549 Organization

CITIZENS MEMORIAL HOSPITAL

1500 N OAKLAND AVE
BOLIVAR, MO 656133011

Contact Information

Phone 4173266000
Fax 4173286243
Enumeration Date 2006-11-21
Last Updated 2025-10-15

Taxonomies

Code: 282N00000X (Primary) License State: MO License: 313-24

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.282

medicaidRatio 0.2524

uncompensatedCareAmount 2386.26

vbpAdjustment 0.9982744254

hhrAdjustment 0.9968

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.282

medicaidRatio 0.2524

uncompensatedCareAmount 2386.26

vbpAdjustment 0.9982744254

hhrAdjustment 0.9968

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.282

medicaidRatio 0.2524

uncompensatedCareAmount 2386.26

vbpAdjustment 0.9982744254

hhrAdjustment 0.9968

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.281

medicaidRatio 0.2666

uncompensatedCareAmount 2386.26

vbpAdjustment 0.9982744254

hhrAdjustment 0.9968

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.281

medicaidRatio 0.2666

uncompensatedCareAmount 1904.83

vbpAdjustment 1.0137851978

hhrAdjustment 0.9966

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.281

medicaidRatio 0.2666

uncompensatedCareAmount 1904.83

vbpAdjustment 1.0137851978

hhrAdjustment 0.9966

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.303

medicaidRatio 0.2901

uncompensatedCareAmount 1904.83

vbpAdjustment 1.0137851978

hhrAdjustment 0.9966

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.303

medicaidRatio 0.2901

uncompensatedCareAmount 1904.83

vbpAdjustment 1.0137851978

hhrAdjustment 0.9966

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.303

medicaidRatio 0.2901

uncompensatedCareAmount 1674.72

vbpAdjustment 1.0106860894

hhrAdjustment 0.9981

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.303

medicaidRatio 0.2901

uncompensatedCareAmount 1674.72

vbpAdjustment 1.0106860894

hhrAdjustment 0.9981

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.288

medicaidRatio 0.2346

uncompensatedCareAmount 1674.72

vbpAdjustment 1.0106860894

hhrAdjustment 0.9981

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.288

medicaidRatio 0.2346

uncompensatedCareAmount 1186.14

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.288

medicaidRatio 0.2346

uncompensatedCareAmount 1186.14

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.294

medicaidRatio 0.2051

uncompensatedCareAmount 1186.14

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.294

medicaidRatio 0.2051

uncompensatedCareAmount 1186.14

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.294

medicaidRatio 0.2051

uncompensatedCareAmount 1186.14

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.294

medicaidRatio 0.2051

uncompensatedCareAmount 1186.14

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.294

medicaidRatio 0.2051

uncompensatedCareAmount 986.59

hhrAdjustment 0.9926

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.299

medicaidRatio 0.2051

uncompensatedCareAmount 986.59

hhrAdjustment 0.9926

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.299

medicaidRatio 0.2051

uncompensatedCareAmount 986.59

hhrAdjustment 0.9926

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.296

medicaidRatio 0.2272

uncompensatedCareAmount 986.59

hhrAdjustment 0.9926

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.296

medicaidRatio 0.2272

uncompensatedCareAmount 986.59

hhrAdjustment 0.9926

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.296

medicaidRatio 0.2272

uncompensatedCareAmount 1473.73

vbpAdjustment 1.0127184584

hhrAdjustment 0.9953

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.305

medicaidRatio 0.2308

uncompensatedCareAmount 1473.73

vbpAdjustment 1.0127184584

hhrAdjustment 0.9953

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.305

medicaidRatio 0.2308

uncompensatedCareAmount 1276.89

vbpAdjustment 1.0021640625

hhrAdjustment 0.989

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.305

medicaidRatio 0.2308

uncompensatedCareAmount 1276.89

vbpAdjustment 1.0021640625

hhrAdjustment 0.989

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.318

medicaidRatio 0.2587

uncompensatedCareAmount 1276.89

vbpAdjustment 1.0021640625

hhrAdjustment 0.989

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.318

medicaidRatio 0.2587

uncompensatedCareAmount 980.15

vbpAdjustment 1.0017587772

hhrAdjustment 0.9983

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.318

medicaidRatio 0.2587

uncompensatedCareAmount 980.15

vbpAdjustment 1.0017587772

hhrAdjustment 0.9983

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.318

medicaidRatio 0.2587

uncompensatedCareAmount 980.15

vbpAdjustment 1.0017587772

hhrAdjustment 0.9983

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.309

medicaidRatio 0.2524

uncompensatedCareAmount 980.15

vbpAdjustment 1.0017587772

hhrAdjustment 0.9983

censusDivision 6

cbsaActualGeographicLocation 44180

providerType 16

caseMixIndex 1.2138

operatingCostToChargeRatio 0.309

medicaidRatio 0.2524

uncompensatedCareAmount 710.39

vbpAdjustment 1.0053916082

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.644

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.216

deviceCostToChargeRatio 0.643

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.625

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.625

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.22

deviceCostToChargeRatio 0.647

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.22

deviceCostToChargeRatio 0.647

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.225

deviceCostToChargeRatio 0.7

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.225

deviceCostToChargeRatio 0.7

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.228

deviceCostToChargeRatio 0.7

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.24

deviceCostToChargeRatio 0.695

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.24

deviceCostToChargeRatio 0.695

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.239

deviceCostToChargeRatio 0.732

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.239

deviceCostToChargeRatio 0.732

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.235

deviceCostToChargeRatio 0.693

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.235

deviceCostToChargeRatio 0.693

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.707

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

cbsaActualGeographicLocation 44180

providerType 16

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.707

specialPaymentIndicator Y

costOfLivingAdjustment 0.89

carrierCode 05392

localityCode 99

CITIZENS MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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