CCN: 420011 NPI: 1497744254 Organization

CANNON MEMORIAL HOSPITAL

123 W G ACKER DR
PICKENS, SC 296712739

Contact Information

Phone 8648784791
Fax 8648981047
Enumeration Date 2005-10-14
Last Updated 2022-09-15

Taxonomies

Code: 282N00000X (Primary) License State: SC License: HTL-076

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.267

medicaidRatio 0.1372

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.267

medicaidRatio 0.1372

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.24

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.24

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.24

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.24

uncompensatedCareAmount 3469.91

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.24

uncompensatedCareAmount 3469.91

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.227

uncompensatedCareAmount 3469.91

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.227

uncompensatedCareAmount 3469.91

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.227

uncompensatedCareAmount 3469.91

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.227

uncompensatedCareAmount 2684.62

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.334

medicaidRatio 0.1335

uncompensatedCareAmount 2684.62

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.334

medicaidRatio 0.1335

uncompensatedCareAmount 2684.62

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.334

medicaidRatio 0.1335

uncompensatedCareAmount 2684.62

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.334

uncompensatedCareAmount 2684.62

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.334

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.317

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.317

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.317

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.317

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.317

medicaidRatio 0.111

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.3

medicaidRatio 0.111

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.3

medicaidRatio 0.111

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.3

medicaidRatio 0.111

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.3

medicaidRatio 0.111

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.3

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.345

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.345

hhrAdjustment 0.9991

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.345

hhrAdjustment 0.9991

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.345

hhrAdjustment 0.9991

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.345

hhrAdjustment 0.9991

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.345

hhrAdjustment 0.9989

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.412

medicaidRatio 0.0867

hhrAdjustment 0.9989

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.412

medicaidRatio 0.0867

hhrAdjustment 0.9989

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.412

medicaidRatio 0.0867

hhrAdjustment 0.9989

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.412

medicaidRatio 0.0867

hhrAdjustment 0.9991

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.412

medicaidRatio 0.0942

hhrAdjustment 0.9991

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.428

medicaidRatio 0.0942

hhrAdjustment 0.9991

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.428

medicaidRatio 0.0942

hhrAdjustment 0.9991

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.428

medicaidRatio 0.0942

hhrAdjustment 0.9991

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.428

medicaidRatio 0.0942

vbpAdjustment 0.993682102

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.428

medicaidRatio 0.0942

vbpAdjustment 0.993682102

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.398

medicaidRatio 0.0615

vbpAdjustment 0.993682102

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.398

medicaidRatio 0.0615

vbpAdjustment 0.993682102

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.398

medicaidRatio 0.0615

vbpAdjustment 0.993682102

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.398

medicaidRatio 0.0615

vbpAdjustment 1.0041477238

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.398

medicaidRatio 0.0615

vbpAdjustment 1.0041477238

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.413

medicaidRatio 0.0898

vbpAdjustment 1.0041477238

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.413

medicaidRatio 0.0898

vbpAdjustment 1.0041477238

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.413

medicaidRatio 0.0774

vbpAdjustment 1.0041477238

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 00

caseMixIndex 0.6558

operatingCostToChargeRatio 0.441

medicaidRatio 0.0774

vbpAdjustment 1.0041477238

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.15

deviceCostToChargeRatio 0.203

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.15

deviceCostToChargeRatio 0.203

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.174

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.133

deviceCostToChargeRatio 0.174

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.134

deviceCostToChargeRatio 0.185

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.134

deviceCostToChargeRatio 0.185

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.202

deviceCostToChargeRatio 0.269

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.202

deviceCostToChargeRatio 0.269

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.204

deviceCostToChargeRatio 0.317

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.204

deviceCostToChargeRatio 0.317

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.173

deviceCostToChargeRatio 0.325

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.173

deviceCostToChargeRatio 0.325

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.173

deviceCostToChargeRatio 0.325

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.142

deviceCostToChargeRatio 0.304

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.142

deviceCostToChargeRatio 0.304

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.142

deviceCostToChargeRatio 0.304

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.163

deviceCostToChargeRatio 0.4

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.163

deviceCostToChargeRatio 0.4

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.431

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.431

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.431

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.668

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 00

operatingCostToChargeRatio 0.16

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

CANNON MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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