CCN: 330144 NPI: 1306930318 Organization

IRA DAVENPORT MEMORIAL HOSPITAL

7571 STATE ROUTE 54
BATH, NY 148109504

Contact Information

Phone 6077768500
Fax 6077768800
Enumeration Date 2006-10-03
Last Updated 2025-12-02

Taxonomies

Code: 261QA0600X
Code: 282N00000X
Code: 282NR1301X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.615

medicaidRatio 0.3239

uncompensatedCareAmount 2154.53

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.615

medicaidRatio 0.3239

uncompensatedCareAmount 2154.53

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.615

medicaidRatio 0.3239

uncompensatedCareAmount 2368.02

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.761

medicaidRatio 0.1944

uncompensatedCareAmount 2368.02

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.761

medicaidRatio 0.1944

uncompensatedCareAmount 2368.02

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.761

medicaidRatio 0.1944

uncompensatedCareAmount 1545.0

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.508

medicaidRatio 0.1085

uncompensatedCareAmount 1545.0

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.508

medicaidRatio 0.1085

uncompensatedCareAmount 1545.0

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.508

medicaidRatio 0.1085

uncompensatedCareAmount 1545.0

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.508

medicaidRatio 0.1085

uncompensatedCareAmount 1545.0

hhrAdjustment 1.0

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.508

medicaidRatio 0.1085

uncompensatedCareAmount 1357.22

hhrAdjustment 0.9994

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.658

medicaidRatio 0.1698

uncompensatedCareAmount 1357.22

hhrAdjustment 0.9994

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.658

medicaidRatio 0.1698

uncompensatedCareAmount 1357.22

hhrAdjustment 0.9994

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.658

medicaidRatio 0.1698

uncompensatedCareAmount 1357.22

hhrAdjustment 0.9994

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.746

medicaidRatio 0.1338

uncompensatedCareAmount 1357.22

hhrAdjustment 0.9994

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.746

medicaidRatio 0.1338

uncompensatedCareAmount 1085.6

hhrAdjustment 0.9957

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.438

medicaidRatio 0.2452

uncompensatedCareAmount 1085.6

hhrAdjustment 0.9957

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.438

medicaidRatio 0.2452

uncompensatedCareAmount 960.37

hhrAdjustment 0.9984

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.438

medicaidRatio 0.2452

uncompensatedCareAmount 960.37

hhrAdjustment 0.9984

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.438

medicaidRatio 0.2452

uncompensatedCareAmount 519.3

hhrAdjustment 0.9957

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.438

medicaidRatio 0.2452

uncompensatedCareAmount 519.3

hhrAdjustment 0.9957

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.41

medicaidRatio 0.1905

uncompensatedCareAmount 519.3

hhrAdjustment 0.9957

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.41

medicaidRatio 0.1905

uncompensatedCareAmount 519.3

hhrAdjustment 0.9957

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.41

medicaidRatio 0.1905

uncompensatedCareAmount 349.59

hhrAdjustment 0.9966

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.57

medicaidRatio 0.1996

uncompensatedCareAmount 349.59

hhrAdjustment 0.9966

censusDivision 2

cbsaActualGeographicLocation 33

providerType 14

caseMixIndex 1.0347

operatingCostToChargeRatio 0.57

medicaidRatio 0.1996

uncompensatedCareAmount 349.59

hhrAdjustment 0.9966

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.207

deviceCostToChargeRatio 0.546

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.207

deviceCostToChargeRatio 0.546

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 7.369

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 7.369

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.493

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.493

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.26

deviceCostToChargeRatio 0.698

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.26

deviceCostToChargeRatio 0.698

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.166

deviceCostToChargeRatio 0.698

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.166

deviceCostToChargeRatio 0.698

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.245

deviceCostToChargeRatio 0.698

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.245

deviceCostToChargeRatio 0.698

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.182

deviceCostToChargeRatio 0.698

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

cbsaActualGeographicLocation 33

providerType 14

operatingCostToChargeRatio 0.182

deviceCostToChargeRatio 0.698

specialPaymentIndicator

costOfLivingAdjustment 0.665

carrierCode 13282

localityCode 99

IRA DAVENPORT MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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