CCN: 300018 NPI: 1033118104 Organization

WENTWORTH-DOUGLASS HOSPITAL

789 CENTRAL AVENUE
DOVER, NH 03820

Contact Information

Phone 6037402400
Fax 6037402244
Enumeration Date 2005-07-20
Last Updated 2024-11-07

Taxonomies

Code: 2471M2300X
Code: 261QP2000X
Code: 261QP3300X
Code: 261QR0200X
Code: 261QR0400X
Code: 261QU0200X
Code: 261QX0100X
Code: 2085R0202X
Code: 2085U0001X
Code: 247100000X
Code: 2471B0102X
Code: 261QX0203X
Code: 282N00000X License State: NH License: 00010
Code: 291U00000X
Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.301

medicaidRatio 0.1394

uncompensatedCareAmount 621.64

vbpAdjustment 1.0082161726

hhrAdjustment 0.9925

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.301

medicaidRatio 0.1394

uncompensatedCareAmount 621.64

vbpAdjustment 1.0082161726

hhrAdjustment 0.9925

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.313

medicaidRatio 0.1458

uncompensatedCareAmount 621.64

vbpAdjustment 1.0082161726

hhrAdjustment 0.9925

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.313

medicaidRatio 0.1458

uncompensatedCareAmount 444.78

vbpAdjustment 1.0075203929

hhrAdjustment 0.9918

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.313

medicaidRatio 0.1458

uncompensatedCareAmount 444.78

vbpAdjustment 1.0075203929

hhrAdjustment 0.9918

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.305

medicaidRatio 0.1279

uncompensatedCareAmount 444.78

vbpAdjustment 1.0075203929

hhrAdjustment 0.9918

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.305

medicaidRatio 0.1279

uncompensatedCareAmount 503.64

vbpAdjustment 1.0127423737

hhrAdjustment 0.9917

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.305

medicaidRatio 0.1279

uncompensatedCareAmount 503.64

vbpAdjustment 1.0127423737

hhrAdjustment 0.9917

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.312

medicaidRatio 0.1478

uncompensatedCareAmount 503.64

vbpAdjustment 1.0127423737

hhrAdjustment 0.9917

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.312

medicaidRatio 0.1478

uncompensatedCareAmount 547.68

hhrAdjustment 0.9965

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.312

medicaidRatio 0.1478

uncompensatedCareAmount 547.68

hhrAdjustment 0.9965

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.3

medicaidRatio 0.1457

uncompensatedCareAmount 547.68

hhrAdjustment 0.9965

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.3

medicaidRatio 0.1457

uncompensatedCareAmount 547.68

hhrAdjustment 0.9965

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.3

medicaidRatio 0.1457

uncompensatedCareAmount 547.68

hhrAdjustment 0.9965

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.3

medicaidRatio 0.1457

uncompensatedCareAmount 546.62

hhrAdjustment 0.9963

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.366

medicaidRatio 0.1507

uncompensatedCareAmount 546.62

hhrAdjustment 0.9963

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.366

medicaidRatio 0.1507

uncompensatedCareAmount 546.62

hhrAdjustment 0.9963

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.366

medicaidRatio 0.1507

uncompensatedCareAmount 546.62

hhrAdjustment 0.9963

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.366

medicaidRatio 0.1507

uncompensatedCareAmount 487.89

vbpAdjustment 1.0090296126

hhrAdjustment 0.996

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.308

medicaidRatio 0.1468

uncompensatedCareAmount 487.89

vbpAdjustment 1.0090296126

hhrAdjustment 0.996

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.308

medicaidRatio 0.1468

uncompensatedCareAmount 616.49

vbpAdjustment 1.0069385808

hhrAdjustment 0.9979

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.308

medicaidRatio 0.1468

uncompensatedCareAmount 616.49

vbpAdjustment 1.0069385808

hhrAdjustment 0.9979

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.327

medicaidRatio 0.1343

uncompensatedCareAmount 616.49

vbpAdjustment 1.0069385808

hhrAdjustment 0.9979

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.327

medicaidRatio 0.1343

uncompensatedCareAmount 616.49

vbpAdjustment 1.0069385808

hhrAdjustment 0.9979

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.327

medicaidRatio 0.1343

uncompensatedCareAmount 529.0

vbpAdjustment 1.0078739891

hhrAdjustment 0.9944

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.327

medicaidRatio 0.1343

uncompensatedCareAmount 529.0

vbpAdjustment 1.0078739891

hhrAdjustment 0.9944

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.327

medicaidRatio 0.1343

uncompensatedCareAmount 529.0

vbpAdjustment 1.0078739891

hhrAdjustment 0.9944

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.337

medicaidRatio 0.1284

uncompensatedCareAmount 529.0

vbpAdjustment 1.0078739891

hhrAdjustment 0.9944

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.337

medicaidRatio 0.1284

uncompensatedCareAmount 408.88

vbpAdjustment 1.0056875798

hhrAdjustment 0.9998

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.338

medicaidRatio 0.1419

uncompensatedCareAmount 408.88

vbpAdjustment 1.0056875798

hhrAdjustment 0.9998

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.338

medicaidRatio 0.1419

uncompensatedCareAmount 408.88

vbpAdjustment 1.0056875798

hhrAdjustment 0.9998

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.338

medicaidRatio 0.1419

uncompensatedCareAmount 229.34

vbpAdjustment 1.000681381

hhrAdjustment 0.9994

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.333

medicaidRatio 0.1255

uncompensatedCareAmount 229.34

vbpAdjustment 1.000681381

hhrAdjustment 0.9994

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.333

medicaidRatio 0.1255

uncompensatedCareAmount 229.34

vbpAdjustment 1.000681381

hhrAdjustment 0.9994

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.333

medicaidRatio 0.1255

uncompensatedCareAmount 232.88

vbpAdjustment 1.0040957277

hhrAdjustment 0.9984

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.348

medicaidRatio 0.1175

uncompensatedCareAmount 232.88

vbpAdjustment 1.0040957277

hhrAdjustment 0.9984

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.348

medicaidRatio 0.1175

uncompensatedCareAmount 232.88

vbpAdjustment 1.0040957277

hhrAdjustment 0.9984

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.348

medicaidRatio 0.1175

uncompensatedCareAmount 272.84

vbpAdjustment 1.0026479174

hhrAdjustment 0.9998

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.1387

uncompensatedCareAmount 272.84

vbpAdjustment 1.0026479174

hhrAdjustment 0.9998

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.1387

uncompensatedCareAmount 272.84

vbpAdjustment 1.0026479174

hhrAdjustment 0.9998

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.363

medicaidRatio 0.1387

vbpAdjustment 1.0009275136

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.37

medicaidRatio 0.1169

vbpAdjustment 1.0009275136

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.37

medicaidRatio 0.1169

vbpAdjustment 1.0009275136

hhrAdjustment 1.0

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.37

medicaidRatio 0.1169

vbpAdjustment 1.001814205

hhrAdjustment 0.9976

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.423

medicaidRatio 0.1147

vbpAdjustment 1.001814205

hhrAdjustment 0.9976

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.423

medicaidRatio 0.1147

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.431

medicaidRatio 0.12

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.431

medicaidRatio 0.12

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.431

medicaidRatio 0.12

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.471

medicaidRatio 0.1166

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.471

medicaidRatio 0.1166

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.483

medicaidRatio 0.1101

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.483

medicaidRatio 0.1101

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.487

medicaidRatio 0.1145

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.487

medicaidRatio 0.1145

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.487

medicaidRatio 0.1145

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.483

medicaidRatio 0.1002

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.483

medicaidRatio 0.1002

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.464

medicaidRatio 0.1002

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.464

medicaidRatio 0.1002

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.459

medicaidRatio 0.1107

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.459

medicaidRatio 0.1107

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.459

medicaidRatio 0.1115

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.484

medicaidRatio 0.0795

censusDivision 1

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.484

medicaidRatio 0.0795

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.199

deviceCostToChargeRatio 0.333

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.28

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.28

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.204

deviceCostToChargeRatio 0.279

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.204

deviceCostToChargeRatio 0.279

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.344

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.344

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.344

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.21

deviceCostToChargeRatio 0.344

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.281

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.281

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.262

deviceCostToChargeRatio 0.316

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.262

deviceCostToChargeRatio 0.316

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.262

deviceCostToChargeRatio 0.316

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.225

deviceCostToChargeRatio 0.196

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 07

operatingCostToChargeRatio 0.225

deviceCostToChargeRatio 0.196

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.225

deviceCostToChargeRatio 0.196

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.225

deviceCostToChargeRatio 0.196

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.22

deviceCostToChargeRatio 0.23

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.22

deviceCostToChargeRatio 0.23

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.228

deviceCostToChargeRatio 0.26

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.228

deviceCostToChargeRatio 0.26

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

cbsaActualGeographicLocation 40484

providerType 00

operatingCostToChargeRatio 0.229

deviceCostToChargeRatio 0.233

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 14312

localityCode 40

WENTWORTH-DOUGLASS HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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