CCN: 450241 NPI: 1790777696 Organization

FAITH COMMUNITY HOSPITAL

215 CHISHOLM TRL
JACKSBORO, TX 76458

Contact Information

Phone 9405676633
Fax 9405672895
Enumeration Date 2005-08-17
Last Updated 2021-09-16

Taxonomies

Code: 207Q00000X License State: TX
Code: 282N00000X License State: TX License: 000046
Code: 367500000X License State: TX
Code: 282N00000X (Primary) License State: TX License: 100322

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.276

medicaidRatio 0.4201

uncompensatedCareAmount 3178.59

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.276

medicaidRatio 0.245

uncompensatedCareAmount 3178.59

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.276

medicaidRatio 0.245

uncompensatedCareAmount 3178.59

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.276

medicaidRatio 0.245

uncompensatedCareAmount 3178.59

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.252

medicaidRatio 0.245

uncompensatedCareAmount 3178.59

hhrAdjustment 0.9991

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.252

medicaidRatio 0.245

uncompensatedCareAmount 3623.64

hhrAdjustment 0.9986

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.252

medicaidRatio 0.2882

uncompensatedCareAmount 3623.64

hhrAdjustment 0.9986

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.252

medicaidRatio 0.2882

uncompensatedCareAmount 3623.64

hhrAdjustment 0.9986

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.223

medicaidRatio 0.2882

uncompensatedCareAmount 3623.64

hhrAdjustment 0.9986

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.223

medicaidRatio 0.2882

uncompensatedCareAmount 4044.74

hhrAdjustment 0.9994

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.223

medicaidRatio 0.1324

uncompensatedCareAmount 4044.74

hhrAdjustment 0.9994

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.223

medicaidRatio 0.1324

uncompensatedCareAmount 4044.74

hhrAdjustment 0.9994

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.289

medicaidRatio 0.1324

uncompensatedCareAmount 4044.74

hhrAdjustment 0.9994

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.289

medicaidRatio 0.1324

uncompensatedCareAmount 5834.17

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.289

medicaidRatio 0.1324

uncompensatedCareAmount 5834.17

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.289

medicaidRatio 0.3849

uncompensatedCareAmount 5834.17

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.289

medicaidRatio 0.3849

uncompensatedCareAmount 5834.17

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.639

medicaidRatio 0.3849

uncompensatedCareAmount 5834.17

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.639

medicaidRatio 0.3849

uncompensatedCareAmount 5834.17

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.639

medicaidRatio 0.3849

uncompensatedCareAmount 4143.86

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.639

medicaidRatio 0.2924

uncompensatedCareAmount 4143.86

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.639

medicaidRatio 0.2924

uncompensatedCareAmount 4143.86

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 1.005

medicaidRatio 0.2924

uncompensatedCareAmount 4143.86

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 1.005

medicaidRatio 0.2924

uncompensatedCareAmount 4143.86

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 1.005

medicaidRatio 0.2924

uncompensatedCareAmount 3372.36

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 1.005

medicaidRatio 0.2514

uncompensatedCareAmount 3372.36

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 1.006

medicaidRatio 0.2514

uncompensatedCareAmount 3372.36

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 1.006

medicaidRatio 0.2514

uncompensatedCareAmount 10541.62

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 1.006

medicaidRatio 0.2514

uncompensatedCareAmount 10541.62

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 1.006

medicaidRatio 0.2254

uncompensatedCareAmount 10541.62

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 1.123

medicaidRatio 0.2254

uncompensatedCareAmount 10541.62

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 1.123

medicaidRatio 0.2254

uncompensatedCareAmount 5659.77

hhrAdjustment 0.9984

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 1.123

medicaidRatio 0.2254

uncompensatedCareAmount 5659.77

hhrAdjustment 0.9984

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 1.123

medicaidRatio 0.2226

uncompensatedCareAmount 5659.77

hhrAdjustment 0.9984

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.289

medicaidRatio 0.2226

uncompensatedCareAmount 5659.77

hhrAdjustment 0.9984

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.299

medicaidRatio 0.2226

uncompensatedCareAmount 2371.03

hhrAdjustment 0.9971

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.299

medicaidRatio 0.2226

uncompensatedCareAmount 2371.03

hhrAdjustment 0.9971

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.299

medicaidRatio 0.3443

uncompensatedCareAmount 2371.03

hhrAdjustment 0.9971

censusDivision 7

cbsaActualGeographicLocation 45

providerType 16

caseMixIndex 0.8569

operatingCostToChargeRatio 0.933

medicaidRatio 0.3443

uncompensatedCareAmount 2371.03

hhrAdjustment 0.9971

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.33

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.33

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.402

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.402

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.553

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.287

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.287

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.287

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.419

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.419

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.594

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.594

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.607

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.607

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.607

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.749

deviceCostToChargeRatio 0.013

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 16

operatingCostToChargeRatio 0.749

deviceCostToChargeRatio 0.013

specialPaymentIndicator

costOfLivingAdjustment 0.811

carrierCode 04412

localityCode 99

FAITH COMMUNITY HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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