CCN: 450039 NPI: 1992753222 Organization

JPS HEALTH NETWORK

1500 S MAIN ST
FORT WORTH, TX 761044917

Contact Information

Phone 8179271232
Fax 8179206908
Enumeration Date 2006-05-05
Last Updated 2025-02-11

Taxonomies

Code: 261QA0005X
Code: 261QA1903X License State: TX License: 000409
Code: 273R00000X License State: TX License: 000409
Code: 282N00000X (Primary) License State: TX License: 000409

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.258

medicaidRatio 0.576

uncompensatedCareAmount 51437.41

internsToBedsRatio 0.4397

vbpAdjustment 0.9994812271

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.26

medicaidRatio 0.576

uncompensatedCareAmount 51437.41

internsToBedsRatio 0.4397

vbpAdjustment 0.9994812271

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.26

medicaidRatio 0.576

uncompensatedCareAmount 51437.41

internsToBedsRatio 0.4397

vbpAdjustment 0.9994812271

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.26

medicaidRatio 0.576

uncompensatedCareAmount 36256.33

internsToBedsRatio 0.4397

vbpAdjustment 0.9926041908

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.26

medicaidRatio 0.576

uncompensatedCareAmount 36256.33

internsToBedsRatio 0.4397

vbpAdjustment 0.9926041908

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.288

medicaidRatio 0.576

uncompensatedCareAmount 36256.33

internsToBedsRatio 0.4397

vbpAdjustment 0.9926041908

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.288

medicaidRatio 0.6185

uncompensatedCareAmount 36256.33

internsToBedsRatio 0.4039

vbpAdjustment 0.9926041908

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.288

medicaidRatio 0.6185

uncompensatedCareAmount 36256.33

internsToBedsRatio 0.4039

vbpAdjustment 0.9926041908

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.288

medicaidRatio 0.6185

uncompensatedCareAmount 30236.97

internsToBedsRatio 0.4039

vbpAdjustment 0.9902814217

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.288

medicaidRatio 0.6185

uncompensatedCareAmount 30236.97

internsToBedsRatio 0.4039

vbpAdjustment 0.9902814217

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.284

medicaidRatio 0.6185

uncompensatedCareAmount 30236.97

internsToBedsRatio 0.4039

vbpAdjustment 0.9902814217

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.284

medicaidRatio 0.6185

uncompensatedCareAmount 30236.97

internsToBedsRatio 0.4039

vbpAdjustment 0.9902814217

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.284

medicaidRatio 0.6172

uncompensatedCareAmount 30236.97

internsToBedsRatio 0.3726

vbpAdjustment 0.9902814217

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.284

medicaidRatio 0.6172

uncompensatedCareAmount 22058.28

internsToBedsRatio 0.3726

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.284

medicaidRatio 0.6172

uncompensatedCareAmount 22058.28

internsToBedsRatio 0.3726

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.284

medicaidRatio 0.6172

uncompensatedCareAmount 22058.28

internsToBedsRatio 0.3726

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.253

medicaidRatio 0.6172

uncompensatedCareAmount 22058.28

internsToBedsRatio 0.3726

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.253

medicaidRatio 0.6172

uncompensatedCareAmount 22058.28

internsToBedsRatio 0.3726

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.253

medicaidRatio 0.6553

uncompensatedCareAmount 22058.28

internsToBedsRatio 0.352

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 07

caseMixIndex 1.1286

operatingCostToChargeRatio 0.253

medicaidRatio 0.6553

uncompensatedCareAmount 22058.28

internsToBedsRatio 0.352

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.253

medicaidRatio 0.6553

uncompensatedCareAmount 20812.57

internsToBedsRatio 0.352

hhrAdjustment 0.9996

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.253

medicaidRatio 0.6553

uncompensatedCareAmount 20812.57

internsToBedsRatio 0.352

hhrAdjustment 0.9996

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.253

medicaidRatio 0.6553

uncompensatedCareAmount 20812.57

internsToBedsRatio 0.352

hhrAdjustment 0.9996

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.238

medicaidRatio 0.6553

uncompensatedCareAmount 20812.57

internsToBedsRatio 0.352

hhrAdjustment 0.9996

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.238

medicaidRatio 0.3361

uncompensatedCareAmount 20812.57

internsToBedsRatio 0.355

hhrAdjustment 0.9996

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.238

medicaidRatio 0.3361

uncompensatedCareAmount 20812.57

internsToBedsRatio 0.355

hhrAdjustment 0.9996

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.238

medicaidRatio 0.3361

uncompensatedCareAmount 20812.57

internsToBedsRatio 0.355

hhrAdjustment 0.9996

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.238

medicaidRatio 0.3361

uncompensatedCareAmount 26191.38

internsToBedsRatio 0.355

vbpAdjustment 0.9966799984

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.238

medicaidRatio 0.3361

uncompensatedCareAmount 26191.38

internsToBedsRatio 0.3569

vbpAdjustment 0.9966799984

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.255

medicaidRatio 0.3361

uncompensatedCareAmount 26191.38

internsToBedsRatio 0.3569

vbpAdjustment 0.9966799984

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.255

medicaidRatio 0.3299

uncompensatedCareAmount 26191.38

internsToBedsRatio 0.3128

vbpAdjustment 0.9966799984

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.255

medicaidRatio 0.3299

uncompensatedCareAmount 26191.38

internsToBedsRatio 0.3128

vbpAdjustment 0.9966799984

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.255

medicaidRatio 0.3299

uncompensatedCareAmount 12145.2

internsToBedsRatio 0.3128

vbpAdjustment 0.9974597578

hhrAdjustment 0.9999

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.255

medicaidRatio 0.334

uncompensatedCareAmount 12145.2

internsToBedsRatio 0.3128

vbpAdjustment 0.9974597578

hhrAdjustment 0.9999

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.237

medicaidRatio 0.334

uncompensatedCareAmount 12145.2

internsToBedsRatio 0.3128

vbpAdjustment 0.9974597578

hhrAdjustment 0.9999

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.237

medicaidRatio 0.334

uncompensatedCareAmount 12145.2

internsToBedsRatio 0.3128

vbpAdjustment 0.9974597578

hhrAdjustment 0.9999

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.244

medicaidRatio 0.334

uncompensatedCareAmount 12145.2

internsToBedsRatio 0.3128

vbpAdjustment 0.9974597578

hhrAdjustment 0.9999

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.244

medicaidRatio 0.334

uncompensatedCareAmount 11392.5

internsToBedsRatio 0.3128

vbpAdjustment 0.99938854

hhrAdjustment 0.9992

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.244

medicaidRatio 0.334

uncompensatedCareAmount 11392.5

internsToBedsRatio 0.3142

vbpAdjustment 0.99938854

hhrAdjustment 0.9992

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.244

medicaidRatio 0.3508

uncompensatedCareAmount 11392.5

internsToBedsRatio 0.3026

vbpAdjustment 0.99938854

hhrAdjustment 0.9992

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.244

medicaidRatio 0.3508

uncompensatedCareAmount 11392.5

internsToBedsRatio 0.3026

vbpAdjustment 0.99938854

hhrAdjustment 0.9992

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.267

medicaidRatio 0.3508

uncompensatedCareAmount 11392.5

internsToBedsRatio 0.3026

vbpAdjustment 0.99938854

hhrAdjustment 0.9992

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.279

medicaidRatio 0.3508

uncompensatedCareAmount 11392.5

internsToBedsRatio 0.3026

vbpAdjustment 0.99938854

hhrAdjustment 0.9992

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.293

medicaidRatio 0.3508

uncompensatedCareAmount 11392.5

internsToBedsRatio 0.3026

vbpAdjustment 0.99938854

hhrAdjustment 0.9992

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.293

medicaidRatio 0.3508

uncompensatedCareAmount 8199.37

internsToBedsRatio 0.3026

vbpAdjustment 0.997448557

hhrAdjustment 0.9994

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.293

medicaidRatio 0.3508

uncompensatedCareAmount 8199.37

internsToBedsRatio 0.3008

vbpAdjustment 0.997448557

hhrAdjustment 0.9994

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.293

medicaidRatio 0.382

uncompensatedCareAmount 8199.37

internsToBedsRatio 0.3349

vbpAdjustment 0.997448557

hhrAdjustment 0.9994

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.1286

operatingCostToChargeRatio 0.289

medicaidRatio 0.382

uncompensatedCareAmount 8199.37

internsToBedsRatio 0.3349

vbpAdjustment 0.997448557

hhrAdjustment 0.9994

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 23104

providerType 07

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.569

specialPaymentIndicator D

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 07

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.545

specialPaymentIndicator D

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 07

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.545

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 07

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.545

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 07

operatingCostToChargeRatio 0.259

deviceCostToChargeRatio 0.575

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 07

operatingCostToChargeRatio 0.259

deviceCostToChargeRatio 0.575

specialPaymentIndicator D

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 07

operatingCostToChargeRatio 0.269

deviceCostToChargeRatio 0.659

specialPaymentIndicator D

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 07

operatingCostToChargeRatio 0.269

deviceCostToChargeRatio 0.659

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 07

operatingCostToChargeRatio 0.269

deviceCostToChargeRatio 0.659

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 07

operatingCostToChargeRatio 0.253

deviceCostToChargeRatio 0.753

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 07

operatingCostToChargeRatio 0.253

deviceCostToChargeRatio 0.753

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.253

deviceCostToChargeRatio 0.753

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.253

deviceCostToChargeRatio 0.753

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 0.744

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.283

deviceCostToChargeRatio 0.744

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.234

deviceCostToChargeRatio 0.743

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.234

deviceCostToChargeRatio 0.743

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.234

deviceCostToChargeRatio 0.743

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.721

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.729

specialPaymentIndicator

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.729

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.244

deviceCostToChargeRatio 0.729

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.729

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 0.729

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.268

deviceCostToChargeRatio 0.726

specialPaymentIndicator Y

carrierCode 04412

localityCode 28

JPS HEALTH NETWORK

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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