CCN: 300003 NPI: 1023092053 Organization

MARY HITCHCOCK MEMORIAL HOSPITAL

ONE MEDICAL CENTER DR
LEBANON, NH 037560001

Contact Information

Phone 6036505000
Enumeration Date 2005-12-02
Last Updated 2021-08-12

Taxonomies

Code: 207R00000X License State: NH License: 01799
Code: 261QE0002X License State: NH License: 01799
Code: 261QH0700X License State: NH License: 01799
Code: 273R00000X License State: NH License: 01799
Code: 332B00000X License State: NH License: 01799
Code: 3416A0800X License State: NH License: 0296
Code: 3416A0800X License State: VT License: 0920
Code: 3416L0300X
Code: 282N00000X (Primary) License State: NH License: 01799

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.282

medicaidRatio 0.2488

uncompensatedCareAmount 683.84

internsToBedsRatio 0.785

vbpAdjustment 1.0001133613

hhrAdjustment 0.9998

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.282

medicaidRatio 0.2488

uncompensatedCareAmount 683.84

internsToBedsRatio 0.785

vbpAdjustment 1.0001133613

hhrAdjustment 0.9998

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.282

medicaidRatio 0.2488

uncompensatedCareAmount 683.84

internsToBedsRatio 0.785

vbpAdjustment 1.0001133613

hhrAdjustment 0.9998

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.31

medicaidRatio 0.23

uncompensatedCareAmount 683.84

internsToBedsRatio 0.7758

vbpAdjustment 1.0001133613

hhrAdjustment 0.9998

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.31

medicaidRatio 0.23

uncompensatedCareAmount 565.2

internsToBedsRatio 0.7758

vbpAdjustment 0.9932008389

hhrAdjustment 0.9994

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.31

medicaidRatio 0.23

uncompensatedCareAmount 565.2

internsToBedsRatio 0.7758

vbpAdjustment 0.9932008389

hhrAdjustment 0.9994

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.345

medicaidRatio 0.245

uncompensatedCareAmount 565.2

internsToBedsRatio 0.9133

vbpAdjustment 0.9932008389

hhrAdjustment 0.9994

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.345

medicaidRatio 0.245

uncompensatedCareAmount 633.25

internsToBedsRatio 0.9133

vbpAdjustment 0.9952639568

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.345

medicaidRatio 0.245

uncompensatedCareAmount 633.25

internsToBedsRatio 0.9133

vbpAdjustment 0.9952639568

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.382

medicaidRatio 0.2564

uncompensatedCareAmount 633.25

internsToBedsRatio 0.9066

vbpAdjustment 0.9952639568

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.382

medicaidRatio 0.2564

uncompensatedCareAmount 693.66

internsToBedsRatio 0.9066

hhrAdjustment 0.9978

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.383

medicaidRatio 0.2564

uncompensatedCareAmount 693.66

internsToBedsRatio 0.9066

hhrAdjustment 0.9978

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.383

medicaidRatio 0.2564

uncompensatedCareAmount 693.66

internsToBedsRatio 0.9066

hhrAdjustment 0.9978

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.383

medicaidRatio 0.2564

uncompensatedCareAmount 693.66

internsToBedsRatio 0.9066

hhrAdjustment 0.9978

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.34

medicaidRatio 0.2442

uncompensatedCareAmount 693.66

internsToBedsRatio 0.9066

hhrAdjustment 0.9978

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.34

medicaidRatio 0.2442

uncompensatedCareAmount 679.94

internsToBedsRatio 0.9066

hhrAdjustment 0.9995

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.34

medicaidRatio 0.2442

uncompensatedCareAmount 679.94

internsToBedsRatio 0.9066

hhrAdjustment 0.9995

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.361

medicaidRatio 0.2386

uncompensatedCareAmount 679.94

internsToBedsRatio 0.8899

hhrAdjustment 0.9995

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.361

medicaidRatio 0.2386

uncompensatedCareAmount 679.94

internsToBedsRatio 0.8899

hhrAdjustment 0.9995

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.361

medicaidRatio 0.2386

uncompensatedCareAmount 471.66

internsToBedsRatio 0.8899

vbpAdjustment 0.9941138448

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.343

medicaidRatio 0.2533

uncompensatedCareAmount 471.66

internsToBedsRatio 0.8825

vbpAdjustment 0.9941138448

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.34

medicaidRatio 0.2533

uncompensatedCareAmount 471.66

internsToBedsRatio 0.8825

vbpAdjustment 0.9941138448

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.34

medicaidRatio 0.2533

uncompensatedCareAmount 477.19

internsToBedsRatio 0.8825

vbpAdjustment 0.9930831161

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.34

medicaidRatio 0.2533

uncompensatedCareAmount 477.19

internsToBedsRatio 0.8825

vbpAdjustment 0.9930831161

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.333

medicaidRatio 0.2312

uncompensatedCareAmount 477.19

internsToBedsRatio 0.8935

vbpAdjustment 0.9930831161

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.332

medicaidRatio 0.2312

uncompensatedCareAmount 477.19

internsToBedsRatio 0.8935

vbpAdjustment 0.9930831161

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.332

medicaidRatio 0.2312

uncompensatedCareAmount 630.7

internsToBedsRatio 0.8935

vbpAdjustment 0.9966864697

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.332

medicaidRatio 0.2312

uncompensatedCareAmount 630.7

internsToBedsRatio 0.8935

vbpAdjustment 0.9966864697

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.332

medicaidRatio 0.2312

uncompensatedCareAmount 630.7

internsToBedsRatio 0.8935

vbpAdjustment 0.9966864697

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.346

medicaidRatio 0.2345

uncompensatedCareAmount 630.7

internsToBedsRatio 0.8285

vbpAdjustment 0.9966864697

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.346

medicaidRatio 0.2345

uncompensatedCareAmount 432.75

internsToBedsRatio 0.8285

vbpAdjustment 0.9959686991

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.346

medicaidRatio 0.2345

uncompensatedCareAmount 432.75

internsToBedsRatio 0.8285

vbpAdjustment 0.9959686991

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.362

medicaidRatio 0.2379

uncompensatedCareAmount 432.75

internsToBedsRatio 0.826

vbpAdjustment 0.9959686991

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.362

medicaidRatio 0.2379

uncompensatedCareAmount 622.2

internsToBedsRatio 0.826

vbpAdjustment 0.995869376

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.363

medicaidRatio 0.2379

uncompensatedCareAmount 622.2

internsToBedsRatio 0.826

vbpAdjustment 0.995869376

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.363

medicaidRatio 0.2379

uncompensatedCareAmount 622.2

internsToBedsRatio 0.826

vbpAdjustment 0.995869376

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.366

medicaidRatio 0.2282

uncompensatedCareAmount 622.2

internsToBedsRatio 0.8689

vbpAdjustment 0.995869376

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.366

medicaidRatio 0.2282

uncompensatedCareAmount 554.09

internsToBedsRatio 0.8689

vbpAdjustment 0.9979948479

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.366

medicaidRatio 0.2282

uncompensatedCareAmount 554.09

internsToBedsRatio 0.8689

vbpAdjustment 0.9979948479

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.341

medicaidRatio 0.216

uncompensatedCareAmount 554.09

internsToBedsRatio 0.8397

vbpAdjustment 0.9979948479

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.341

medicaidRatio 0.216

uncompensatedCareAmount 658.02

internsToBedsRatio 0.8397

vbpAdjustment 0.9989642313

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.341

medicaidRatio 0.216

uncompensatedCareAmount 658.02

internsToBedsRatio 0.8397

vbpAdjustment 0.9989642313

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.356

medicaidRatio 0.2135

uncompensatedCareAmount 658.02

internsToBedsRatio 0.8722

vbpAdjustment 0.9989642313

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.356

medicaidRatio 0.2135

internsToBedsRatio 0.8722

vbpAdjustment 0.997035472

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.356

medicaidRatio 0.2135

internsToBedsRatio 0.8722

vbpAdjustment 0.997035472

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.364

medicaidRatio 0.2085

internsToBedsRatio 0.8318

vbpAdjustment 0.997035472

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.364

medicaidRatio 0.2085

internsToBedsRatio 0.8318

vbpAdjustment 0.9957943556

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.364

medicaidRatio 0.2085

internsToBedsRatio 0.8318

vbpAdjustment 0.9957943556

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.383

medicaidRatio 0.2086

internsToBedsRatio 0.8386

vbpAdjustment 0.9957943556

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.383

medicaidRatio 0.2086

internsToBedsRatio 0.8386

vbpAdjustment 0.9957943556

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.383

medicaidRatio 0.2086

internsToBedsRatio 0.8386

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.388

medicaidRatio 0.2014

internsToBedsRatio 0.8066

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.388

medicaidRatio 0.2014

internsToBedsRatio 0.8066

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.388

medicaidRatio 0.2014

internsToBedsRatio 0.8066

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.385

medicaidRatio 0.1841

internsToBedsRatio 0.8426

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.385

medicaidRatio 0.1841

internsToBedsRatio 0.8426

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.385

medicaidRatio 0.1841

internsToBedsRatio 0.7674

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.394

medicaidRatio 0.1872

internsToBedsRatio 0.8074

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.394

medicaidRatio 0.1872

internsToBedsRatio 0.8074

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.394

medicaidRatio 0.1872

internsToBedsRatio 0.8074

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.394

medicaidRatio 0.1872

internsToBedsRatio 0.8074

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.39

medicaidRatio 0.1686

internsToBedsRatio 0.8087

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.39

medicaidRatio 0.1686

internsToBedsRatio 0.8087

censusDivision 1

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.407

medicaidRatio 0.1732

internsToBedsRatio 0.815

censusDivision 1

cbsaActualGeographicLocation 30

providerType 07

operatingCostToChargeRatio 0.407

medicaidRatio 0.1732

internsToBedsRatio 0.815

censusDivision 1

cbsaActualGeographicLocation 30

providerType 07

operatingCostToChargeRatio 0.407

medicaidRatio 0.1732

internsToBedsRatio 0.815

censusDivision 1

cbsaActualGeographicLocation 30

providerType 07

operatingCostToChargeRatio 0.407

medicaidRatio 0.1732

internsToBedsRatio 0.815

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.697

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.617

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.617

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.266

deviceCostToChargeRatio 0.546

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.266

deviceCostToChargeRatio 0.546

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.276

deviceCostToChargeRatio 0.683

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.276

deviceCostToChargeRatio 0.683

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.277

deviceCostToChargeRatio 0.699

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.277

deviceCostToChargeRatio 0.699

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.299

deviceCostToChargeRatio 0.738

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.299

deviceCostToChargeRatio 0.738

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.286

deviceCostToChargeRatio 0.683

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.286

deviceCostToChargeRatio 0.683

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.301

deviceCostToChargeRatio 0.683

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.294

deviceCostToChargeRatio 0.658

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.294

deviceCostToChargeRatio 0.658

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.298

deviceCostToChargeRatio 0.657

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.303

deviceCostToChargeRatio 0.695

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.303

deviceCostToChargeRatio 0.695

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.297

deviceCostToChargeRatio 0.696

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 30

providerType 17

operatingCostToChargeRatio 0.308

deviceCostToChargeRatio 0.682

specialPaymentIndicator

costOfLivingAdjustment 0.857

carrierCode 14312

localityCode 40

MARY HITCHCOCK MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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