CCN: 420101 NPI: 1962472431 Organization

SOUTH CAROLINA COASTAL MEDICAL CENTER LLC

1000 MEDICAL CENTER DR
HARDEEVILLE, SC 299273446

Contact Information

Phone 8347848000
Fax 8347848001
Enumeration Date 2006-01-25
Last Updated 2022-03-22

Taxonomies

Code: 282N00000X (Primary) License State: SC License: HTL-902

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.2269

uncompensatedCareAmount 1174.81

vbpAdjustment 0.992700151

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.2269

uncompensatedCareAmount 847.73

vbpAdjustment 1.0003606159

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.2269

uncompensatedCareAmount 847.73

vbpAdjustment 1.0003606159

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.2269

uncompensatedCareAmount 847.73

vbpAdjustment 1.0003606159

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.2269

uncompensatedCareAmount 847.73

vbpAdjustment 1.0003606159

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.2269

uncompensatedCareAmount 847.73

vbpAdjustment 1.0003606159

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.2269

uncompensatedCareAmount 930.11

vbpAdjustment 0.9860106773

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.2269

uncompensatedCareAmount 930.11

vbpAdjustment 0.9860106773

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.2269

uncompensatedCareAmount 930.11

vbpAdjustment 0.9860106773

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.215

uncompensatedCareAmount 930.11

vbpAdjustment 0.9860106773

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.097

medicaidRatio 0.215

uncompensatedCareAmount 985.99

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.109

medicaidRatio 0.215

uncompensatedCareAmount 985.99

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.109

medicaidRatio 0.215

uncompensatedCareAmount 985.99

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.109

medicaidRatio 0.215

uncompensatedCareAmount 985.99

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.109

medicaidRatio 0.215

uncompensatedCareAmount 985.99

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.109

medicaidRatio 0.2111

uncompensatedCareAmount 985.99

hhrAdjustment 0.9985

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.109

medicaidRatio 0.2111

uncompensatedCareAmount 995.45

hhrAdjustment 0.9963

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.109

medicaidRatio 0.2111

uncompensatedCareAmount 995.45

hhrAdjustment 0.9963

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.109

medicaidRatio 0.2111

uncompensatedCareAmount 995.45

hhrAdjustment 0.9963

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.109

medicaidRatio 0.2111

uncompensatedCareAmount 995.45

hhrAdjustment 0.9963

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.109

medicaidRatio 0.2111

uncompensatedCareAmount 1152.43

vbpAdjustment 0.9946841011

hhrAdjustment 0.995

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.131

medicaidRatio 0.2099

uncompensatedCareAmount 1152.43

vbpAdjustment 0.9946841011

hhrAdjustment 0.995

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.131

medicaidRatio 0.2099

uncompensatedCareAmount 1152.43

vbpAdjustment 0.9946841011

hhrAdjustment 0.995

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.131

medicaidRatio 0.2099

uncompensatedCareAmount 1150.34

vbpAdjustment 0.9946841011

hhrAdjustment 0.995

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.131

medicaidRatio 0.2099

uncompensatedCareAmount 1281.33

vbpAdjustment 1.000830006

hhrAdjustment 0.9937

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.149

medicaidRatio 0.2099

uncompensatedCareAmount 1281.33

vbpAdjustment 1.000830006

hhrAdjustment 0.9937

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.149

medicaidRatio 0.2051

uncompensatedCareAmount 1281.33

vbpAdjustment 1.000830006

hhrAdjustment 0.9937

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.149

medicaidRatio 0.2051

uncompensatedCareAmount 1281.33

vbpAdjustment 1.000830006

hhrAdjustment 0.9937

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.149

medicaidRatio 0.2051

uncompensatedCareAmount 709.92

vbpAdjustment 1.0048874903

hhrAdjustment 0.9943

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.176

medicaidRatio 0.2024

uncompensatedCareAmount 709.92

vbpAdjustment 1.0048874903

hhrAdjustment 0.9943

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.176

medicaidRatio 0.2024

uncompensatedCareAmount 709.92

vbpAdjustment 1.0048874903

hhrAdjustment 0.9943

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.176

medicaidRatio 0.2024

uncompensatedCareAmount 709.92

vbpAdjustment 1.0048874903

hhrAdjustment 0.9943

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.176

medicaidRatio 0.2024

uncompensatedCareAmount 331.24

vbpAdjustment 0.9974898554

hhrAdjustment 0.9934

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.198

medicaidRatio 0.1829

uncompensatedCareAmount 331.24

vbpAdjustment 0.9974898554

hhrAdjustment 0.9934

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.198

medicaidRatio 0.1829

uncompensatedCareAmount 331.24

vbpAdjustment 0.9974898554

hhrAdjustment 0.9934

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.198

medicaidRatio 0.1829

uncompensatedCareAmount 331.24

vbpAdjustment 0.9974898554

hhrAdjustment 0.9934

censusDivision 3

cbsaActualGeographicLocation 25940

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.198

medicaidRatio 0.1829

uncompensatedCareAmount 332.33

vbpAdjustment 0.9974898554

hhrAdjustment 0.9934

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.076

deviceCostToChargeRatio 0.242

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.076

deviceCostToChargeRatio 0.242

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.076

deviceCostToChargeRatio 0.242

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.076

deviceCostToChargeRatio 0.242

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.101

deviceCostToChargeRatio 0.373

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.101

deviceCostToChargeRatio 0.373

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.101

deviceCostToChargeRatio 0.373

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.091

deviceCostToChargeRatio 0.323

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.091

deviceCostToChargeRatio 0.323

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.105

deviceCostToChargeRatio 0.432

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.105

deviceCostToChargeRatio 0.432

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.12

deviceCostToChargeRatio 0.297

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.12

deviceCostToChargeRatio 0.297

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.142

deviceCostToChargeRatio 0.426

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.142

deviceCostToChargeRatio 0.426

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.142

deviceCostToChargeRatio 0.426

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.149

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.149

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.172

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.172

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 25940

providerType 00

operatingCostToChargeRatio 0.171

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

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providerType 00

operatingCostToChargeRatio 0.171

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

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providerType 00

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specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

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providerType 00

operatingCostToChargeRatio 0.196

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

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providerType 00

operatingCostToChargeRatio 0.196

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

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providerType 00

operatingCostToChargeRatio 0.228

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

operatingCostToChargeRatio 0.228

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

operatingCostToChargeRatio 0.258

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

operatingCostToChargeRatio 0.258

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

operatingCostToChargeRatio 0.272

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

operatingCostToChargeRatio 0.272

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

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specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

operatingCostToChargeRatio 0.307

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

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specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

operatingCostToChargeRatio 0.278

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

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specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

operatingCostToChargeRatio 0.268

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

operatingCostToChargeRatio 0.36

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

operatingCostToChargeRatio 0.36

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 42

providerType 00

operatingCostToChargeRatio 0.437

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 11202

localityCode 01

SOUTH CAROLINA COASTAL MEDICAL CENTER LLC

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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