CCN: 440072 NPI: 1043282338 Organization

WEST TENNESSEE HEALTHCARE DYERSBURG HOSPITAL

400 E TICKLE ST
DYERSBURG, TN 380243120

Contact Information

Phone 7312872400
Fax 7312859545
Enumeration Date 2006-02-02
Last Updated 2025-06-23

Taxonomies

Code: 282N00000X License State: TN License: 0000000030
Code: 282N00000X
Code: 3336C0003X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.304

medicaidRatio 0.2204

uncompensatedCareAmount 1089.62

vbpAdjustment 1.0018373637

hhrAdjustment 0.9971

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.304

medicaidRatio 0.2204

uncompensatedCareAmount 1089.62

vbpAdjustment 1.0018373637

hhrAdjustment 0.9971

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.275

medicaidRatio 0.2

uncompensatedCareAmount 1089.62

vbpAdjustment 1.0018373637

hhrAdjustment 0.9971

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.275

medicaidRatio 0.2

uncompensatedCareAmount 1089.62

vbpAdjustment 1.0018373637

hhrAdjustment 0.9971

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.275

medicaidRatio 0.2

uncompensatedCareAmount 923.57

vbpAdjustment 1.015053075

hhrAdjustment 0.9985

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.275

medicaidRatio 0.2

uncompensatedCareAmount 923.57

vbpAdjustment 1.015053075

hhrAdjustment 0.9985

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.31

medicaidRatio 0.2187

uncompensatedCareAmount 923.57

vbpAdjustment 1.015053075

hhrAdjustment 0.9985

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.31

medicaidRatio 0.2187

uncompensatedCareAmount 923.57

vbpAdjustment 1.015053075

hhrAdjustment 0.9985

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.31

medicaidRatio 0.2187

uncompensatedCareAmount 883.79

vbpAdjustment 0.9948289736

hhrAdjustment 0.9951

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.31

medicaidRatio 0.2187

uncompensatedCareAmount 883.79

vbpAdjustment 0.9948289736

hhrAdjustment 0.9951

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.321

medicaidRatio 0.2254

uncompensatedCareAmount 883.79

vbpAdjustment 0.9948289736

hhrAdjustment 0.9951

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.321

medicaidRatio 0.2254

uncompensatedCareAmount 679.25

hhrAdjustment 0.9948

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.321

medicaidRatio 0.2254

uncompensatedCareAmount 679.25

hhrAdjustment 0.9948

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.315

medicaidRatio 0.1791

uncompensatedCareAmount 679.25

hhrAdjustment 0.9948

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.315

medicaidRatio 0.1791

uncompensatedCareAmount 541.96

hhrAdjustment 0.9881

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.261

medicaidRatio 0.2152

uncompensatedCareAmount 541.96

hhrAdjustment 0.9881

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.261

medicaidRatio 0.2152

uncompensatedCareAmount 541.96

hhrAdjustment 0.9881

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.261

medicaidRatio 0.2152

uncompensatedCareAmount 541.96

hhrAdjustment 0.9881

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.261

medicaidRatio 0.2152

uncompensatedCareAmount 488.73

vbpAdjustment 0.993632691

hhrAdjustment 0.9897

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.099

medicaidRatio 0.1391

uncompensatedCareAmount 488.73

vbpAdjustment 0.993632691

hhrAdjustment 0.9897

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.099

medicaidRatio 0.1391

uncompensatedCareAmount 169.09

vbpAdjustment 0.9944171727

hhrAdjustment 0.9913

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.102

medicaidRatio 0.1457

uncompensatedCareAmount 169.09

vbpAdjustment 0.9944171727

hhrAdjustment 0.9913

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.102

medicaidRatio 0.1457

uncompensatedCareAmount 169.09

vbpAdjustment 0.9944171727

hhrAdjustment 0.9913

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.084

medicaidRatio 0.1549

uncompensatedCareAmount 169.09

vbpAdjustment 0.9944171727

hhrAdjustment 0.9913

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.084

medicaidRatio 0.1549

uncompensatedCareAmount 380.51

vbpAdjustment 0.9984641475

hhrAdjustment 0.982

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.084

medicaidRatio 0.1549

uncompensatedCareAmount 380.51

vbpAdjustment 0.9984641475

hhrAdjustment 0.982

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.084

medicaidRatio 0.1549

uncompensatedCareAmount 380.51

vbpAdjustment 0.9984641475

hhrAdjustment 0.982

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.085

medicaidRatio 0.189

uncompensatedCareAmount 380.51

vbpAdjustment 0.9984641475

hhrAdjustment 0.982

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.085

medicaidRatio 0.189

uncompensatedCareAmount 414.46

vbpAdjustment 0.9988630259

hhrAdjustment 0.9763

censusDivision 5

cbsaActualGeographicLocation 44

providerType 16

caseMixIndex 1.2826

operatingCostToChargeRatio 0.098

medicaidRatio 0.2677

uncompensatedCareAmount 414.46

vbpAdjustment 0.9988630259

hhrAdjustment 0.9763

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.725

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.165

deviceCostToChargeRatio 0.507

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.164

deviceCostToChargeRatio 0.507

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.164

deviceCostToChargeRatio 0.507

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.213

deviceCostToChargeRatio 0.442

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.213

deviceCostToChargeRatio 0.442

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.428

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.428

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.19

deviceCostToChargeRatio 0.362

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.19

deviceCostToChargeRatio 0.362

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.185

deviceCostToChargeRatio 0.336

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.185

deviceCostToChargeRatio 0.336

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.065

deviceCostToChargeRatio 0.06

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.065

deviceCostToChargeRatio 0.06

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.064

deviceCostToChargeRatio 0.06

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.049

deviceCostToChargeRatio 0.14

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.049

deviceCostToChargeRatio 0.14

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.049

deviceCostToChargeRatio 0.14

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 44

providerType 16

operatingCostToChargeRatio 0.057

deviceCostToChargeRatio 0.112

specialPaymentIndicator

costOfLivingAdjustment 0.823

carrierCode 10312

localityCode 35

WEST TENNESSEE HEALTHCARE DYERSBURG HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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