CCN: 440035 NPI: 1285689794 Organization

TENNOVA HEALTHCARE-CLARKSVILLE

651 DUNLOP LN
CLARKSVILLE, TN 370405015

Contact Information

Phone 9315021000
Fax 9315021215
Enumeration Date 2006-05-23
Last Updated 2026-03-10

Taxonomies

Code: 3336I0012X License State: TN License: 147
Code: 261QR0206X
Code: 261QR0400X
Code: 333600000X License State: TN License: 147
Code: 261QA1903X
Code: 282N00000X (Primary) License State: TN License: 000000090

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.11

medicaidRatio 0.2753

uncompensatedCareAmount 1035.97

vbpAdjustment 0.9901716142

hhrAdjustment 0.9867

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.11

medicaidRatio 0.2753

uncompensatedCareAmount 1035.97

vbpAdjustment 0.9901716142

hhrAdjustment 0.9867

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.11

medicaidRatio 0.2753

uncompensatedCareAmount 743.96

vbpAdjustment 0.986712291

hhrAdjustment 0.9888

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.11

medicaidRatio 0.2753

uncompensatedCareAmount 743.96

vbpAdjustment 0.986712291

hhrAdjustment 0.9888

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.11

medicaidRatio 0.2735

uncompensatedCareAmount 743.96

vbpAdjustment 0.986712291

hhrAdjustment 0.9888

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.112

medicaidRatio 0.2735

uncompensatedCareAmount 743.96

vbpAdjustment 0.986712291

hhrAdjustment 0.9888

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.112

medicaidRatio 0.2735

uncompensatedCareAmount 743.96

vbpAdjustment 0.986712291

hhrAdjustment 0.9888

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.112

medicaidRatio 0.2735

uncompensatedCareAmount 799.42

vbpAdjustment 0.9904395974

hhrAdjustment 0.9887

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.123

medicaidRatio 0.208

uncompensatedCareAmount 799.42

vbpAdjustment 0.9904395974

hhrAdjustment 0.9887

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.123

medicaidRatio 0.208

uncompensatedCareAmount 799.42

vbpAdjustment 0.9904395974

hhrAdjustment 0.9887

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.123

medicaidRatio 0.2658

uncompensatedCareAmount 799.42

vbpAdjustment 0.9904395974

hhrAdjustment 0.9887

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.123

medicaidRatio 0.2658

uncompensatedCareAmount 793.47

hhrAdjustment 0.9955

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.122

medicaidRatio 0.2658

uncompensatedCareAmount 793.47

hhrAdjustment 0.9955

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.122

medicaidRatio 0.205

uncompensatedCareAmount 793.47

hhrAdjustment 0.9955

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.113

medicaidRatio 0.205

uncompensatedCareAmount 793.47

hhrAdjustment 0.9955

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.113

medicaidRatio 0.205

uncompensatedCareAmount 793.47

hhrAdjustment 0.9955

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.113

medicaidRatio 0.205

uncompensatedCareAmount 793.47

hhrAdjustment 0.9955

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.112

medicaidRatio 0.205

uncompensatedCareAmount 793.47

hhrAdjustment 0.9955

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.112

medicaidRatio 0.205

uncompensatedCareAmount 838.73

hhrAdjustment 0.9933

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.112

medicaidRatio 0.2302

uncompensatedCareAmount 838.73

hhrAdjustment 0.9933

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.111

medicaidRatio 0.2302

uncompensatedCareAmount 838.73

hhrAdjustment 0.9933

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.111

medicaidRatio 0.2302

uncompensatedCareAmount 838.73

hhrAdjustment 0.9933

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.111

medicaidRatio 0.2302

uncompensatedCareAmount 838.73

hhrAdjustment 0.9933

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.111

medicaidRatio 0.2302

uncompensatedCareAmount 838.73

hhrAdjustment 0.9933

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.111

medicaidRatio 0.2302

uncompensatedCareAmount 778.14

vbpAdjustment 0.995236537

hhrAdjustment 0.9953

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.11

medicaidRatio 0.2215

uncompensatedCareAmount 778.14

vbpAdjustment 0.995236537

hhrAdjustment 0.9953

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.11

medicaidRatio 0.2215

uncompensatedCareAmount 778.14

vbpAdjustment 0.995236537

hhrAdjustment 0.9953

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.11

medicaidRatio 0.2215

uncompensatedCareAmount 752.72

vbpAdjustment 0.9990044549

hhrAdjustment 0.9904

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.11

medicaidRatio 0.2255

uncompensatedCareAmount 752.72

vbpAdjustment 0.9990044549

hhrAdjustment 0.9904

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.116

medicaidRatio 0.2255

uncompensatedCareAmount 752.72

vbpAdjustment 0.9990044549

hhrAdjustment 0.9904

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.116

medicaidRatio 0.2255

uncompensatedCareAmount 752.72

vbpAdjustment 0.9990044549

hhrAdjustment 0.9904

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.116

medicaidRatio 0.2255

uncompensatedCareAmount 752.72

vbpAdjustment 0.9990044549

hhrAdjustment 0.9904

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.116

medicaidRatio 0.2255

uncompensatedCareAmount 708.8

vbpAdjustment 0.9929414949

hhrAdjustment 0.9843

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.129

medicaidRatio 0.2385

uncompensatedCareAmount 708.8

vbpAdjustment 0.9929414949

hhrAdjustment 0.9843

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.129

medicaidRatio 0.2385

uncompensatedCareAmount 708.8

vbpAdjustment 0.9929414949

hhrAdjustment 0.9843

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.129

medicaidRatio 0.2385

uncompensatedCareAmount 708.8

vbpAdjustment 0.9929414949

hhrAdjustment 0.9843

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 17

caseMixIndex 1.042

operatingCostToChargeRatio 0.129

medicaidRatio 0.2385

uncompensatedCareAmount 467.11

vbpAdjustment 0.9921004194

hhrAdjustment 0.9826

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 07

caseMixIndex 1.042

operatingCostToChargeRatio 0.121

medicaidRatio 0.2385

uncompensatedCareAmount 467.11

vbpAdjustment 0.9921004194

hhrAdjustment 0.9826

censusDivision 5

cbsaActualGeographicLocation 17300

providerType 07

caseMixIndex 1.042

operatingCostToChargeRatio 0.129

medicaidRatio 0.2347

uncompensatedCareAmount 467.11

vbpAdjustment 0.9921004194

hhrAdjustment 0.9826

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.078

deviceCostToChargeRatio 0.128

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.078

deviceCostToChargeRatio 0.128

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.078

deviceCostToChargeRatio 0.128

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.077

deviceCostToChargeRatio 0.175

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.077

deviceCostToChargeRatio 0.175

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.083

deviceCostToChargeRatio 0.186

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.083

deviceCostToChargeRatio 0.186

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.082

deviceCostToChargeRatio 0.186

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.08

deviceCostToChargeRatio 0.185

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.079

deviceCostToChargeRatio 0.185

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.079

deviceCostToChargeRatio 0.185

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.081

deviceCostToChargeRatio 0.197

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.081

deviceCostToChargeRatio 0.197

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.086

deviceCostToChargeRatio 0.216

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.086

deviceCostToChargeRatio 0.216

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.087

deviceCostToChargeRatio 0.244

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.087

deviceCostToChargeRatio 0.244

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.089

deviceCostToChargeRatio 0.196

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 17

operatingCostToChargeRatio 0.089

deviceCostToChargeRatio 0.196

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 07

operatingCostToChargeRatio 0.089

deviceCostToChargeRatio 0.196

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 17300

providerType 07

operatingCostToChargeRatio 0.092

deviceCostToChargeRatio 0.196

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

TENNOVA HEALTHCARE-CLARKSVILLE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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