CCN: 422004 NPI: 1699790485 Organization

SPARTANBURG HOSP FOR RESTORATIVE CARE

389 SERPENTINE DR
SPARTANBURG, SC 293033026

Contact Information

Phone 8645603235
Fax 8645603158
Enumeration Date 2006-07-13
Last Updated 2012-08-21

Taxonomies

Code: 282N00000X License State: SC License: HTL-0685
Code: 282E00000X (Primary) License State: SC License: HTL-0685

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.419

medicaidRatio 0.0043

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.419

medicaidRatio 0.0043

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.419

medicaidRatio 0.0043

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.454

medicaidRatio 0.0018

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.454

medicaidRatio 0.0018

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.454

medicaidRatio 0.0058

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.454

medicaidRatio 0.0058

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.447

medicaidRatio 0.0058

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.447

medicaidRatio 0.0058

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.447

medicaidRatio 0.0058

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.447

medicaidRatio 0.0058

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.391

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.391

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.391

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.391

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.397

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.391

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.391

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.391

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.391

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.391

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.391

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.439

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.439

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.439

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.407

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.407

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.407

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.407

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.407

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.469

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.469

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.469

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.469

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.469

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.397

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.397

medicaidRatio 0.0788

censusDivision 3

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.397

medicaidRatio 0.0788

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.276

deviceCostToChargeRatio 0.036

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.276

deviceCostToChargeRatio 0.036

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.276

deviceCostToChargeRatio 0.036

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.003

deviceCostToChargeRatio 0.042

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.003

deviceCostToChargeRatio 0.042

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.004

deviceCostToChargeRatio 0.039

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.004

deviceCostToChargeRatio 0.039

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.004

deviceCostToChargeRatio 0.087

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.004

deviceCostToChargeRatio 0.087

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.004

deviceCostToChargeRatio 0.108

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.004

deviceCostToChargeRatio 0.108

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.004

deviceCostToChargeRatio 0.196

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.004

deviceCostToChargeRatio 0.196

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.005

deviceCostToChargeRatio 3.132

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.005

deviceCostToChargeRatio 3.132

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.5

deviceCostToChargeRatio 1.074

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 43900

providerType 02

operatingCostToChargeRatio 0.5

deviceCostToChargeRatio 1.074

specialPaymentIndicator

carrierCode 11202

localityCode 01

SPARTANBURG HOSP FOR RESTORATIVE CARE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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