CCN: 422008 NPI: 1427504554 Organization

PRISMA HEALTH NORTH GREENVILLE LTACH

807 N MAIN ST
TRAVELERS REST, SC 296901551

Contact Information

Phone 8648345132
Enumeration Date 2016-08-29
Last Updated 2021-02-04

Taxonomies

Code: 282E00000X (Primary) License State: SC License: HTL-0935

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.402

medicaidRatio 0.0963

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.402

medicaidRatio 0.0963

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.402

medicaidRatio 0.0963

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.402

medicaidRatio 0.0963

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.411

medicaidRatio 0.1

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.411

medicaidRatio 0.1

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.411

medicaidRatio 0.1

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.411

medicaidRatio 0.1

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.498

medicaidRatio 0.1363

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.498

medicaidRatio 0.1363

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.498

medicaidRatio 0.1363

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.498

medicaidRatio 0.1363

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.498

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.648

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.648

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.648

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.648

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.648

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.648

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.648

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.648

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.869

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.648

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.648

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.648

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.648

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.496

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.496

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.496

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.643

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.643

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.643

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.643

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.643

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.543

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.543

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.446

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.446

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.546

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.546

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.546

medicaidRatio 0.0259

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.546

medicaidRatio 0.0259

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.095

deviceCostToChargeRatio 0.203

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.095

deviceCostToChargeRatio 0.203

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.114

deviceCostToChargeRatio 0.153

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.114

deviceCostToChargeRatio 0.153

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.126

deviceCostToChargeRatio 0.096

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.126

deviceCostToChargeRatio 0.096

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.126

deviceCostToChargeRatio 0.096

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.17

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.17

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.114

deviceCostToChargeRatio 0.27

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.114

deviceCostToChargeRatio 0.27

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.292

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.292

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.13

deviceCostToChargeRatio 0.164

specialPaymentIndicator

carrierCode 11202

localityCode 01

cbsaActualGeographicLocation 24860

providerType 02

operatingCostToChargeRatio 0.13

deviceCostToChargeRatio 0.164

specialPaymentIndicator

carrierCode 11202

localityCode 01

PRISMA HEALTH NORTH GREENVILLE LTACH

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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