CCN: 360148 NPI: 1770957185 Organization

POMERENE HOSPITAL

981 WOOSTER RD
MILLERSBURG, OH 446541536

Contact Information

Phone 3306741584
Fax 3306749314
Enumeration Date 2015-11-23
Last Updated 2026-01-16

Taxonomies

Code: 282NR1301X (Primary) License State: OH License: 0008MAT

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.667

medicaidRatio 0.0714

uncompensatedCareAmount 1039.92

vbpAdjustment 1.0126411121

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.667

medicaidRatio 0.0714

uncompensatedCareAmount 1039.92

vbpAdjustment 1.0126411121

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.667

medicaidRatio 0.0714

uncompensatedCareAmount 1039.92

vbpAdjustment 1.0126411121

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.667

medicaidRatio 0.0714

vbpAdjustment 1.0125173207

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.629

medicaidRatio 0.1667

vbpAdjustment 1.0125173207

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.629

medicaidRatio 0.1667

vbpAdjustment 1.0125173207

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.629

vbpAdjustment 1.0125173207

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.629

vbpAdjustment 1.0125173207

hhrAdjustment 0.9977

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.629

vbpAdjustment 1.0056244664

hhrAdjustment 0.9962

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.65

vbpAdjustment 1.0056244664

hhrAdjustment 0.9962

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.65

vbpAdjustment 1.0056244664

hhrAdjustment 0.9962

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.65

uncompensatedCareAmount 564.39

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.397

uncompensatedCareAmount 564.39

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.397

uncompensatedCareAmount 564.39

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.397

uncompensatedCareAmount 564.39

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.397

uncompensatedCareAmount 564.39

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.397

uncompensatedCareAmount 564.39

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.397

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.395

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.395

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.395

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.537

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.537

vbpAdjustment 1.0091899972

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.537

vbpAdjustment 1.0091899972

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.537

vbpAdjustment 1.0091899972

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.546

medicaidRatio 0.0944

vbpAdjustment 1.0091899972

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.546

medicaidRatio 0.0944

vbpAdjustment 1.0133280095

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.546

medicaidRatio 0.0944

vbpAdjustment 1.0133280095

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.546

medicaidRatio 0.0944

vbpAdjustment 1.0145580579

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.546

medicaidRatio 0.0944

vbpAdjustment 1.0145580579

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.546

medicaidRatio 0.0944

vbpAdjustment 1.0145580579

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.558

vbpAdjustment 1.0145580579

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.558

vbpAdjustment 1.0145580579

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.558

vbpAdjustment 1.0145580579

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.558

vbpAdjustment 1.0146906223

hhrAdjustment 0.9981

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.545

medicaidRatio 0.1086

vbpAdjustment 1.0146906223

hhrAdjustment 0.9981

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.545

medicaidRatio 0.1086

vbpAdjustment 1.0146906223

hhrAdjustment 0.9981

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.545

medicaidRatio 0.1086

vbpAdjustment 1.0146906223

hhrAdjustment 0.9981

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.545

medicaidRatio 0.1086

vbpAdjustment 1.0146906223

hhrAdjustment 0.9981

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1559

operatingCostToChargeRatio 0.545

medicaidRatio 0.1086

vbpAdjustment 1.0146906223

hhrAdjustment 0.9981

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.337

deviceCostToChargeRatio 0.227

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.337

deviceCostToChargeRatio 0.227

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.308

deviceCostToChargeRatio 0.274

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.308

deviceCostToChargeRatio 0.274

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.314

deviceCostToChargeRatio 0.368

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.314

deviceCostToChargeRatio 0.368

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.251

deviceCostToChargeRatio 0.362

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.251

deviceCostToChargeRatio 0.362

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.278

deviceCostToChargeRatio 0.339

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.278

deviceCostToChargeRatio 0.339

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.282

deviceCostToChargeRatio 0.254

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.282

deviceCostToChargeRatio 0.254

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.268

deviceCostToChargeRatio 0.276

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.268

deviceCostToChargeRatio 0.276

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.276

deviceCostToChargeRatio 0.281

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.276

deviceCostToChargeRatio 0.281

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.297

deviceCostToChargeRatio 0.296

specialPaymentIndicator

costOfLivingAdjustment 0.767

carrierCode 15202

localityCode 00

POMERENE HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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