CCN: 370112 NPI: 1972539567 Organization

SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT

213 E REDWOOD AVE
SALLISAW, OK 749552811

Contact Information

Phone 9187741100
Fax 9187741142
Enumeration Date 2006-06-24
Last Updated 2023-04-20

Taxonomies

Code: 282NR1301X (Primary) License State: OK License: 2189

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.725

medicaidRatio 0.5497

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.725

medicaidRatio 0.5497

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.566

medicaidRatio 0.5497

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.566

medicaidRatio 0.1221

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.566

medicaidRatio 0.1221

uncompensatedCareAmount 977.05

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.566

medicaidRatio 0.1221

uncompensatedCareAmount 977.05

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.566

medicaidRatio 0.1448

uncompensatedCareAmount 977.05

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.62

medicaidRatio 0.1448

uncompensatedCareAmount 977.05

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.62

medicaidRatio 0.1448

uncompensatedCareAmount 451.98

vbpAdjustment 1.0192275782

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.62

medicaidRatio 0.1448

uncompensatedCareAmount 451.98

vbpAdjustment 1.0192275782

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.62

medicaidRatio 0.1256

uncompensatedCareAmount 451.98

vbpAdjustment 1.0192275782

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.54

medicaidRatio 0.1256

uncompensatedCareAmount 451.98

vbpAdjustment 1.0192275782

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.54

medicaidRatio 0.1256

hhrAdjustment 0.997

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.54

medicaidRatio 0.1256

hhrAdjustment 0.997

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.54

medicaidRatio 0.0764

hhrAdjustment 0.997

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.582

medicaidRatio 0.0764

hhrAdjustment 0.997

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.582

medicaidRatio 0.0764

hhrAdjustment 0.997

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.582

medicaidRatio 0.0764

hhrAdjustment 0.997

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.582

medicaidRatio 0.0764

hhrAdjustment 0.9974

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.582

medicaidRatio 0.0764

hhrAdjustment 0.9974

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.582

medicaidRatio 0.0795

hhrAdjustment 0.9974

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.582

medicaidRatio 0.0795

hhrAdjustment 0.9974

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.539

medicaidRatio 0.0795

hhrAdjustment 0.9974

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.539

medicaidRatio 0.0795

uncompensatedCareAmount 1090.81

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.539

medicaidRatio 0.0976

uncompensatedCareAmount 1090.81

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.539

medicaidRatio 0.0976

uncompensatedCareAmount 1090.81

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.514

medicaidRatio 0.0976

uncompensatedCareAmount 1090.81

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.514

medicaidRatio 0.0976

uncompensatedCareAmount 1988.95

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.514

medicaidRatio 0.0976

uncompensatedCareAmount 1988.95

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.514

medicaidRatio 0.0977

uncompensatedCareAmount 1988.95

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.392

medicaidRatio 0.0977

uncompensatedCareAmount 1988.95

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.392

medicaidRatio 0.0977

uncompensatedCareAmount 1227.33

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.392

medicaidRatio 0.0977

uncompensatedCareAmount 1227.33

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.392

medicaidRatio 0.1212

uncompensatedCareAmount 1227.33

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.373

medicaidRatio 0.1212

uncompensatedCareAmount 1227.33

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.373

medicaidRatio 0.1212

uncompensatedCareAmount 749.3

hhrAdjustment 0.9983

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.373

medicaidRatio 0.1212

uncompensatedCareAmount 749.3

hhrAdjustment 0.9983

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.373

medicaidRatio 0.109

uncompensatedCareAmount 749.3

hhrAdjustment 0.9983

censusDivision 7

cbsaActualGeographicLocation 22900

providerType 00

caseMixIndex 0.904

operatingCostToChargeRatio 0.48

medicaidRatio 0.109

uncompensatedCareAmount 749.3

hhrAdjustment 0.9983

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.215

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.22

deviceCostToChargeRatio 0.006

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.22

deviceCostToChargeRatio 0.006

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.22

deviceCostToChargeRatio 0.006

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.251

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.251

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.212

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.212

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.252

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.252

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.252

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.245

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.245

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.153

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.153

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.202

deviceCostToChargeRatio 0.229

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

cbsaActualGeographicLocation 22900

providerType 00

operatingCostToChargeRatio 0.202

deviceCostToChargeRatio 0.229

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 04312

localityCode 00

SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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