CCN: 420071 NPI: 1023046612 Organization

SELF REGIONAL HEALTHCARE

1325 SPRING ST
GREENWOOD, SC 296463860

Contact Information

Phone 8647254252
Fax 8647255789
Enumeration Date 2006-06-30
Last Updated 2024-10-08

Taxonomies

Code: 273R00000X
Code: 282N00000X (Primary) License State: SC License: 038

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.251

medicaidRatio 0.1947

uncompensatedCareAmount 1404.8

internsToBedsRatio 0.0692

vbpAdjustment 1.0024120312

hhrAdjustment 0.9968

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.251

medicaidRatio 0.1947

uncompensatedCareAmount 1404.8

internsToBedsRatio 0.0749

vbpAdjustment 1.0024120312

hhrAdjustment 0.9968

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.251

medicaidRatio 0.1947

uncompensatedCareAmount 1011.28

internsToBedsRatio 0.0749

vbpAdjustment 0.9952145262

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.267

medicaidRatio 0.1947

uncompensatedCareAmount 1011.28

internsToBedsRatio 0.0749

vbpAdjustment 0.9952145262

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.267

medicaidRatio 0.192

uncompensatedCareAmount 1011.28

internsToBedsRatio 0.074

vbpAdjustment 0.9952145262

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.267

medicaidRatio 0.192

uncompensatedCareAmount 1011.28

internsToBedsRatio 0.074

vbpAdjustment 0.9952145262

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.267

medicaidRatio 0.192

uncompensatedCareAmount 1011.28

internsToBedsRatio 0.074

vbpAdjustment 0.9952145262

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.265

medicaidRatio 0.192

uncompensatedCareAmount 1011.28

internsToBedsRatio 0.074

vbpAdjustment 0.9952145262

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.267

medicaidRatio 0.192

uncompensatedCareAmount 1011.28

internsToBedsRatio 0.074

vbpAdjustment 0.9952145262

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.267

medicaidRatio 0.1894

uncompensatedCareAmount 1011.28

internsToBedsRatio 0.0749

vbpAdjustment 0.9952145262

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.265

medicaidRatio 0.1894

uncompensatedCareAmount 1011.28

internsToBedsRatio 0.0749

vbpAdjustment 0.9952145262

hhrAdjustment 0.9977

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.265

medicaidRatio 0.1894

uncompensatedCareAmount 757.25

internsToBedsRatio 0.0749

vbpAdjustment 0.9975575047

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.275

medicaidRatio 0.2067

uncompensatedCareAmount 757.25

internsToBedsRatio 0.0747

vbpAdjustment 0.9975575047

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.275

medicaidRatio 0.2067

uncompensatedCareAmount 757.25

internsToBedsRatio 0.0747

vbpAdjustment 0.9975575047

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.275

medicaidRatio 0.2067

uncompensatedCareAmount 757.25

internsToBedsRatio 0.0747

vbpAdjustment 0.9975575047

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.275

medicaidRatio 0.2067

uncompensatedCareAmount 953.76

internsToBedsRatio 0.0747

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.246

medicaidRatio 0.1906

uncompensatedCareAmount 953.76

internsToBedsRatio 0.0731

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.246

medicaidRatio 0.1906

uncompensatedCareAmount 953.76

internsToBedsRatio 0.0731

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.246

medicaidRatio 0.1906

uncompensatedCareAmount 953.76

internsToBedsRatio 0.0731

hhrAdjustment 0.9995

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.246

medicaidRatio 0.1906

uncompensatedCareAmount 671.69

internsToBedsRatio 0.0731

hhrAdjustment 0.9975

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.246

medicaidRatio 0.1906

uncompensatedCareAmount 671.69

internsToBedsRatio 0.0731

hhrAdjustment 0.9975

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.246

medicaidRatio 0.2097

uncompensatedCareAmount 671.69

internsToBedsRatio 0.0731

hhrAdjustment 0.9975

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.246

medicaidRatio 0.2097

uncompensatedCareAmount 671.69

internsToBedsRatio 0.0731

hhrAdjustment 0.9975

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.246

medicaidRatio 0.2097

uncompensatedCareAmount 671.69

internsToBedsRatio 0.0731

hhrAdjustment 0.9975

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.246

medicaidRatio 0.2097

uncompensatedCareAmount 671.69

internsToBedsRatio 0.0731

hhrAdjustment 0.9975

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.246

medicaidRatio 0.2097

uncompensatedCareAmount 1062.09

internsToBedsRatio 0.0731

vbpAdjustment 0.9934723064

hhrAdjustment 0.9993

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.241

medicaidRatio 0.2288

uncompensatedCareAmount 1062.09

internsToBedsRatio 0.0731

vbpAdjustment 0.9934723064

hhrAdjustment 0.9993

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.241

medicaidRatio 0.241

uncompensatedCareAmount 1062.09

internsToBedsRatio 0.0731

vbpAdjustment 0.9934723064

hhrAdjustment 0.9993

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.241

medicaidRatio 0.241

uncompensatedCareAmount 936.91

internsToBedsRatio 0.0731

vbpAdjustment 0.9962895328

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.241

medicaidRatio 0.2427

uncompensatedCareAmount 936.91

internsToBedsRatio 0.0738

vbpAdjustment 0.9962895328

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.251

medicaidRatio 0.2427

uncompensatedCareAmount 936.91

internsToBedsRatio 0.0738

vbpAdjustment 0.9962895328

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.251

medicaidRatio 0.2427

uncompensatedCareAmount 936.91

internsToBedsRatio 0.0738

vbpAdjustment 0.9962895328

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.251

medicaidRatio 0.2427

uncompensatedCareAmount 936.91

internsToBedsRatio 0.0738

vbpAdjustment 0.9962895328

hhrAdjustment 0.9972

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.251

medicaidRatio 0.2427

uncompensatedCareAmount 909.26

internsToBedsRatio 0.0738

vbpAdjustment 0.9996966709

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.264

medicaidRatio 0.2329

uncompensatedCareAmount 909.26

internsToBedsRatio 0.0731

vbpAdjustment 0.9996966709

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.264

medicaidRatio 0.2329

uncompensatedCareAmount 909.26

internsToBedsRatio 0.0731

vbpAdjustment 0.9996966709

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.264

medicaidRatio 0.2329

uncompensatedCareAmount 909.26

internsToBedsRatio 0.0731

vbpAdjustment 0.9996966709

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.264

medicaidRatio 0.2329

uncompensatedCareAmount 759.37

internsToBedsRatio 0.0731

vbpAdjustment 1.0015990422

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.246

medicaidRatio 0.2257

uncompensatedCareAmount 759.37

internsToBedsRatio 0.0731

vbpAdjustment 1.0015990422

hhrAdjustment 0.9946

censusDivision 3

cbsaActualGeographicLocation 42

providerType 17

caseMixIndex 0.7124

operatingCostToChargeRatio 0.246

medicaidRatio 0.2257

uncompensatedCareAmount 759.37

internsToBedsRatio 0.0731

vbpAdjustment 1.0015990422

hhrAdjustment 0.9946

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.229

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.229

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.158

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.158

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.158

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.158

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.158

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.158

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.195

deviceCostToChargeRatio 0.157

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.195

deviceCostToChargeRatio 0.157

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.188

deviceCostToChargeRatio 0.172

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.188

deviceCostToChargeRatio 0.172

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.18

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.18

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.183

deviceCostToChargeRatio 0.192

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.183

deviceCostToChargeRatio 0.192

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.222

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.18

deviceCostToChargeRatio 0.222

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.196

deviceCostToChargeRatio 0.268

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 17

operatingCostToChargeRatio 0.196

deviceCostToChargeRatio 0.268

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

SELF REGIONAL HEALTHCARE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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