CCN: 360175 NPI: 1063713659 Organization

CLINTON MEMORIAL HOSPITAL

610 W MAIN ST , ATTN: FACILITY CEO
WILMINGTON, OH 451772125

Contact Information

Phone 9373826611
Fax 9373826633
Enumeration Date 2010-11-12
Last Updated 2024-03-11

Taxonomies

Code: 282N00000X (Primary) License State: OH License: 1124

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.496

medicaidRatio 0.2764

uncompensatedCareAmount 1306.09

vbpAdjustment 0.9980732918

hhrAdjustment 0.9949

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.496

medicaidRatio 0.2764

uncompensatedCareAmount 1306.09

vbpAdjustment 0.9980732918

hhrAdjustment 0.9949

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.496

medicaidRatio 0.2764

uncompensatedCareAmount 1306.09

vbpAdjustment 0.9980732918

hhrAdjustment 0.9949

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.496

medicaidRatio 0.2764

uncompensatedCareAmount 1306.09

vbpAdjustment 0.9980732918

hhrAdjustment 0.9949

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.496

medicaidRatio 0.2764

uncompensatedCareAmount 889.75

vbpAdjustment 0.9889497213

hhrAdjustment 0.9963

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.367

medicaidRatio 0.3013

uncompensatedCareAmount 889.75

vbpAdjustment 0.9889497213

hhrAdjustment 0.9963

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.367

medicaidRatio 0.3013

uncompensatedCareAmount 889.75

vbpAdjustment 0.9889497213

hhrAdjustment 0.9963

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.367

medicaidRatio 0.3013

uncompensatedCareAmount 889.75

vbpAdjustment 0.9889497213

hhrAdjustment 0.9963

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.367

medicaidRatio 0.3013

uncompensatedCareAmount 889.75

vbpAdjustment 0.9889497213

hhrAdjustment 0.9963

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.367

medicaidRatio 0.3013

uncompensatedCareAmount 889.75

vbpAdjustment 0.9889497213

hhrAdjustment 0.9963

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.367

medicaidRatio 0.3013

uncompensatedCareAmount 704.29

vbpAdjustment 0.9852197987

hhrAdjustment 0.9973

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.366

medicaidRatio 0.272

uncompensatedCareAmount 704.29

vbpAdjustment 0.9852197987

hhrAdjustment 0.9973

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.366

medicaidRatio 0.272

uncompensatedCareAmount 704.29

vbpAdjustment 0.9852197987

hhrAdjustment 0.9973

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.366

medicaidRatio 0.272

uncompensatedCareAmount 704.29

vbpAdjustment 0.9852197987

hhrAdjustment 0.9973

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.366

medicaidRatio 0.272

uncompensatedCareAmount 704.29

vbpAdjustment 0.9852197987

hhrAdjustment 0.9973

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.366

medicaidRatio 0.272

uncompensatedCareAmount 704.29

vbpAdjustment 0.9852197987

hhrAdjustment 0.9973

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.366

medicaidRatio 0.272

uncompensatedCareAmount 587.34

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.329

medicaidRatio 0.2429

uncompensatedCareAmount 587.34

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.329

medicaidRatio 0.2429

uncompensatedCareAmount 587.34

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.329

medicaidRatio 0.2429

uncompensatedCareAmount 587.34

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.329

medicaidRatio 0.2429

uncompensatedCareAmount 587.34

hhrAdjustment 0.9948

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.329

medicaidRatio 0.2429

uncompensatedCareAmount 580.91

hhrAdjustment 0.9893

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.45

medicaidRatio 0.2062

uncompensatedCareAmount 580.91

hhrAdjustment 0.9893

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.45

medicaidRatio 0.2062

uncompensatedCareAmount 580.91

hhrAdjustment 0.9893

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.45

medicaidRatio 0.2062

uncompensatedCareAmount 580.91

hhrAdjustment 0.9893

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.45

medicaidRatio 0.2062

uncompensatedCareAmount 697.35

vbpAdjustment 0.9902646144

hhrAdjustment 0.9862

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.384

medicaidRatio 0.2069

uncompensatedCareAmount 697.35

vbpAdjustment 0.9902646144

hhrAdjustment 0.9862

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.384

medicaidRatio 0.2069

uncompensatedCareAmount 697.35

vbpAdjustment 0.9902646144

hhrAdjustment 0.9862

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.384

medicaidRatio 0.2069

uncompensatedCareAmount 697.35

vbpAdjustment 0.9902646144

hhrAdjustment 0.9862

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.375

medicaidRatio 0.2576

uncompensatedCareAmount 697.35

vbpAdjustment 0.9902646144

hhrAdjustment 0.9862

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.375

medicaidRatio 0.2576

uncompensatedCareAmount 505.83

vbpAdjustment 0.9948852627

hhrAdjustment 0.9886

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.375

medicaidRatio 0.2576

uncompensatedCareAmount 505.83

vbpAdjustment 0.9948852627

hhrAdjustment 0.9886

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.375

medicaidRatio 0.2576

uncompensatedCareAmount 505.83

vbpAdjustment 0.9948852627

hhrAdjustment 0.9886

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.375

medicaidRatio 0.2576

uncompensatedCareAmount 667.25

vbpAdjustment 0.9910453052

hhrAdjustment 0.9888

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.375

medicaidRatio 0.2576

uncompensatedCareAmount 667.25

vbpAdjustment 0.9910453052

hhrAdjustment 0.9888

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.412

medicaidRatio 0.2541

uncompensatedCareAmount 667.25

vbpAdjustment 0.9910453052

hhrAdjustment 0.9888

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.412

medicaidRatio 0.2541

uncompensatedCareAmount 667.25

vbpAdjustment 0.9910453052

hhrAdjustment 0.9888

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.412

medicaidRatio 0.2541

uncompensatedCareAmount 667.25

vbpAdjustment 0.9910453052

hhrAdjustment 0.9888

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.412

medicaidRatio 0.2541

uncompensatedCareAmount 633.08

vbpAdjustment 0.9992243865

hhrAdjustment 0.9942

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.412

medicaidRatio 0.2541

uncompensatedCareAmount 633.08

vbpAdjustment 0.9992243865

hhrAdjustment 0.9942

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.445

medicaidRatio 0.242

uncompensatedCareAmount 633.08

vbpAdjustment 0.9992243865

hhrAdjustment 0.9942

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.445

medicaidRatio 0.242

uncompensatedCareAmount 633.08

vbpAdjustment 0.9992243865

hhrAdjustment 0.9942

censusDivision 4

cbsaActualGeographicLocation 36

providerType 14

caseMixIndex 1.1564

operatingCostToChargeRatio 0.445

medicaidRatio 0.242

uncompensatedCareAmount 633.08

vbpAdjustment 0.9992243865

hhrAdjustment 0.9942

censusDivision 4

cbsaActualGeographicLocation 36

providerType 00

caseMixIndex 1.1564

operatingCostToChargeRatio 0.445

medicaidRatio 0.242

uncompensatedCareAmount 633.08

vbpAdjustment 0.9992243865

hhrAdjustment 0.9942

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 0.425

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 0.425

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 0.425

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 0.425

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 0.425

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.263

deviceCostToChargeRatio 0.353

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.263

deviceCostToChargeRatio 0.353

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.263

deviceCostToChargeRatio 0.353

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.268

deviceCostToChargeRatio 0.448

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.268

deviceCostToChargeRatio 0.448

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.536

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.536

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.536

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.304

deviceCostToChargeRatio 0.564

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.304

deviceCostToChargeRatio 0.564

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.306

deviceCostToChargeRatio 0.749

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.306

deviceCostToChargeRatio 0.749

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.306

deviceCostToChargeRatio 0.749

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.297

deviceCostToChargeRatio 0.751

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.297

deviceCostToChargeRatio 0.751

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.32

deviceCostToChargeRatio 0.758

specialPaymentIndicator

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.32

deviceCostToChargeRatio 0.758

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.32

deviceCostToChargeRatio 0.758

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.317

deviceCostToChargeRatio 0.772

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.317

deviceCostToChargeRatio 0.772

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.35

deviceCostToChargeRatio 0.772

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 14

operatingCostToChargeRatio 0.35

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.35

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.335

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.335

specialPaymentIndicator 1

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.36

specialPaymentIndicator 1

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.389

specialPaymentIndicator 1

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.389

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.389

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.389

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.439

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.439

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.447

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.447

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.447

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.408

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.408

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.452

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.452

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.474

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.474

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.455

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.451

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.451

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.395

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

cbsaActualGeographicLocation 36

providerType 00

operatingCostToChargeRatio 0.454

specialPaymentIndicator Y

costOfLivingAdjustment 0.835

carrierCode 15202

localityCode 00

CLINTON MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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