CCN: 440180 NPI: 1083171664 Organization

JELLICO REGIONAL HOSPITAL, LLC

188 HOSPITAL LN
JELLICO, TN 377624400

Contact Information

Phone 4237847252
Enumeration Date 2019-03-01
Last Updated 2020-10-19

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.374

medicaidRatio 0.179

uncompensatedCareAmount 603.04

hhrAdjustment 0.9948

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.364

medicaidRatio 0.179

uncompensatedCareAmount 603.04

hhrAdjustment 0.9948

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.364

medicaidRatio 0.2852

uncompensatedCareAmount 603.04

hhrAdjustment 0.9948

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.364

medicaidRatio 0.2852

uncompensatedCareAmount 371.86

vbpAdjustment 1.000783197

hhrAdjustment 0.9838

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.364

medicaidRatio 0.2852

uncompensatedCareAmount 371.86

vbpAdjustment 1.000783197

hhrAdjustment 0.9838

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.364

medicaidRatio 0.2852

uncompensatedCareAmount 651.42

hhrAdjustment 0.9931

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.364

medicaidRatio 0.2852

uncompensatedCareAmount 651.42

hhrAdjustment 0.9931

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.364

medicaidRatio 0.3559

uncompensatedCareAmount 651.42

hhrAdjustment 0.9931

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.364

medicaidRatio 0.3559

uncompensatedCareAmount 651.42

hhrAdjustment 0.9931

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.417

medicaidRatio 0.3559

uncompensatedCareAmount 651.42

hhrAdjustment 0.9931

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.417

medicaidRatio 0.3559

uncompensatedCareAmount 696.93

vbpAdjustment 1.0079934049

hhrAdjustment 0.9942

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.417

medicaidRatio 0.3559

uncompensatedCareAmount 696.93

vbpAdjustment 1.0079934049

hhrAdjustment 0.9942

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.417

medicaidRatio 0.3297

uncompensatedCareAmount 696.93

vbpAdjustment 1.0079934049

hhrAdjustment 0.9942

censusDivision 5

cbsaActualGeographicLocation 28940

providerType 00

caseMixIndex 0.9308

operatingCostToChargeRatio 0.448

medicaidRatio 0.3297

uncompensatedCareAmount 696.93

vbpAdjustment 1.0079934049

hhrAdjustment 0.9942

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 28940

providerType 00

operatingCostToChargeRatio 0.233

specialPaymentIndicator

costOfLivingAdjustment 0.834

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 28940

providerType 00

operatingCostToChargeRatio 0.233

specialPaymentIndicator

costOfLivingAdjustment 0.834

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 28940

providerType 00

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.892

specialPaymentIndicator

costOfLivingAdjustment 0.834

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 28940

providerType 00

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.892

specialPaymentIndicator

costOfLivingAdjustment 0.834

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 28940

providerType 00

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.892

specialPaymentIndicator

costOfLivingAdjustment 0.834

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 28940

providerType 00

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.605

specialPaymentIndicator

costOfLivingAdjustment 0.834

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 28940

providerType 00

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.605

specialPaymentIndicator

costOfLivingAdjustment 0.834

carrierCode 10312

localityCode 35

cbsaActualGeographicLocation 28940

providerType 00

operatingCostToChargeRatio 0.277

deviceCostToChargeRatio 0.752

specialPaymentIndicator

costOfLivingAdjustment 0.834

carrierCode 10312

localityCode 35

JELLICO REGIONAL HOSPITAL, LLC

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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