CCN: 440056 NPI: 1972585347 Organization

TENNOVA HEALTHCARE JEFFERSON MEMORIAL HOSPITAL

110 HOSPITAL DR
JEFFERSON CITY, TN 377605281

Contact Information

Phone 8654712500
Fax 8654712450
Enumeration Date 2005-11-18
Last Updated 2021-04-08

Taxonomies

Code: 282N00000X (Primary) License State: TN License: 0000000038

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.154

medicaidRatio 0.1381

uncompensatedCareAmount 1348.49

vbpAdjustment 1.0002857616

hhrAdjustment 0.996

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.154

medicaidRatio 0.1381

uncompensatedCareAmount 1348.49

vbpAdjustment 1.0002857616

hhrAdjustment 0.996

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.154

medicaidRatio 0.1381

uncompensatedCareAmount 847.47

vbpAdjustment 1.0075203929

hhrAdjustment 0.9962

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.152

medicaidRatio 0.1566

uncompensatedCareAmount 847.47

vbpAdjustment 1.0075203929

hhrAdjustment 0.9962

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.152

medicaidRatio 0.1566

uncompensatedCareAmount 847.47

vbpAdjustment 1.0075203929

hhrAdjustment 0.9962

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.152

medicaidRatio 0.1566

uncompensatedCareAmount 847.47

vbpAdjustment 1.0075203929

hhrAdjustment 0.9962

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.152

medicaidRatio 0.1566

vbpAdjustment 0.9982692955

hhrAdjustment 0.9988

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.141

medicaidRatio 0.1573

vbpAdjustment 0.9982692955

hhrAdjustment 0.9988

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.141

medicaidRatio 0.1573

vbpAdjustment 0.9982692955

hhrAdjustment 0.9988

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.141

medicaidRatio 0.1645

vbpAdjustment 0.9982692955

hhrAdjustment 0.9988

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.141

medicaidRatio 0.1645

uncompensatedCareAmount 828.41

hhrAdjustment 0.999

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.141

medicaidRatio 0.0789

uncompensatedCareAmount 828.41

hhrAdjustment 0.999

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.129

medicaidRatio 0.0789

uncompensatedCareAmount 828.41

hhrAdjustment 0.999

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.129

medicaidRatio 0.0789

uncompensatedCareAmount 828.41

hhrAdjustment 0.999

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.129

medicaidRatio 0.0789

uncompensatedCareAmount 828.41

hhrAdjustment 0.999

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.129

medicaidRatio 0.0789

hhrAdjustment 0.9941

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.129

medicaidRatio 0.0959

hhrAdjustment 0.9941

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.142

medicaidRatio 0.0959

hhrAdjustment 0.9941

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.142

medicaidRatio 0.0959

hhrAdjustment 0.9941

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.142

medicaidRatio 0.0959

hhrAdjustment 0.9941

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.142

medicaidRatio 0.0959

hhrAdjustment 0.9941

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.142

medicaidRatio 0.0959

vbpAdjustment 1.004859613

hhrAdjustment 0.9889

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.142

medicaidRatio 0.0969

vbpAdjustment 1.004859613

hhrAdjustment 0.9889

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.144

medicaidRatio 0.0969

vbpAdjustment 1.004859613

hhrAdjustment 0.9889

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.144

medicaidRatio 0.0969

vbpAdjustment 1.004859613

hhrAdjustment 0.9889

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.144

medicaidRatio 0.0969

vbpAdjustment 1.004859613

hhrAdjustment 0.9889

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.144

medicaidRatio 0.0969

vbpAdjustment 1.002281085

hhrAdjustment 0.9817

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.171

medicaidRatio 0.0765

vbpAdjustment 1.002281085

hhrAdjustment 0.9817

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.171

medicaidRatio 0.0765

vbpAdjustment 1.002281085

hhrAdjustment 0.9817

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.171

medicaidRatio 0.0765

vbpAdjustment 1.002281085

hhrAdjustment 0.9817

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.171

medicaidRatio 0.0765

vbpAdjustment 1.0004788491

hhrAdjustment 0.9882

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.175

vbpAdjustment 1.0004788491

hhrAdjustment 0.9882

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.175

vbpAdjustment 1.0004788491

hhrAdjustment 0.9882

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.175

vbpAdjustment 1.0004788491

hhrAdjustment 0.9882

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.175

vbpAdjustment 1.0013925504

hhrAdjustment 0.9928

censusDivision 5

cbsaActualGeographicLocation 34100

providerType 00

caseMixIndex 0.8747

operatingCostToChargeRatio 0.192

medicaidRatio 0.0795

vbpAdjustment 1.0013925504

hhrAdjustment 0.9928

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.082

deviceCostToChargeRatio 0.007

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.082

deviceCostToChargeRatio 0.007

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.082

deviceCostToChargeRatio 0.007

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.103

deviceCostToChargeRatio 0.234

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.103

deviceCostToChargeRatio 0.234

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.096

deviceCostToChargeRatio 0.199

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.096

deviceCostToChargeRatio 0.199

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.094

deviceCostToChargeRatio 0.19

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.094

deviceCostToChargeRatio 0.19

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.157

deviceCostToChargeRatio 0.21

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.157

deviceCostToChargeRatio 0.21

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.096

deviceCostToChargeRatio 0.208

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.096

deviceCostToChargeRatio 0.208

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.096

deviceCostToChargeRatio 0.208

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.102

deviceCostToChargeRatio 0.297

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.102

deviceCostToChargeRatio 0.297

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.107

deviceCostToChargeRatio 0.269

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.107

deviceCostToChargeRatio 0.269

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 34100

providerType 00

operatingCostToChargeRatio 0.109

deviceCostToChargeRatio 0.231

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 10312

localityCode 35

TENNOVA HEALTHCARE JEFFERSON MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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