CCN: 450596 NPI: 1114998911 Organization

LAKE GRANBURY MEDICAL CENTER

1310 PALUXY RD
GRANBURY, TX 760485655

Contact Information

Phone 8175732273
Enumeration Date 2006-01-30
Last Updated 2025-09-04

Taxonomies

Code: 261QA1903X
Code: 282N00000X (Primary) License State: TX License: 000424

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 45

providerType 14

caseMixIndex 1.0

operatingCostToChargeRatio 0.11

medicaidRatio 0.1697

uncompensatedCareAmount 1817.38

internsToBedsRatio 0.2625

vbpAdjustment 0.9947402205

hhrAdjustment 0.9978

censusDivision 7

cbsaActualGeographicLocation 45

providerType 14

caseMixIndex 1.0

operatingCostToChargeRatio 0.11

medicaidRatio 0.1697

uncompensatedCareAmount 1817.38

internsToBedsRatio 0.2625

vbpAdjustment 0.9947402205

hhrAdjustment 0.9978

censusDivision 7

cbsaActualGeographicLocation 45

providerType 14

caseMixIndex 1.0

operatingCostToChargeRatio 0.11

medicaidRatio 0.1697

uncompensatedCareAmount 1817.38

internsToBedsRatio 0.2625

vbpAdjustment 0.9947402205

hhrAdjustment 0.9978

censusDivision 7

cbsaActualGeographicLocation 45

providerType 14

caseMixIndex 1.0

operatingCostToChargeRatio 0.11

medicaidRatio 0.1697

uncompensatedCareAmount 1817.38

internsToBedsRatio 0.146

vbpAdjustment 0.9947402205

hhrAdjustment 0.9978

censusDivision 7

cbsaActualGeographicLocation 45

providerType 14

caseMixIndex 1.0

operatingCostToChargeRatio 0.11

medicaidRatio 0.1697

uncompensatedCareAmount 1296.3

internsToBedsRatio 0.146

vbpAdjustment 1.0057304487

hhrAdjustment 0.9999

censusDivision 7

cbsaActualGeographicLocation 45

providerType 14

caseMixIndex 1.0

operatingCostToChargeRatio 0.12

medicaidRatio 0.1836

uncompensatedCareAmount 1296.3

internsToBedsRatio 0.0421

vbpAdjustment 1.0057304487

hhrAdjustment 0.9999

censusDivision 7

cbsaActualGeographicLocation 45

providerType 14

caseMixIndex 1.0

operatingCostToChargeRatio 0.12

medicaidRatio 0.1836

uncompensatedCareAmount 1296.3

internsToBedsRatio 0.0421

vbpAdjustment 1.0057304487

hhrAdjustment 0.9999

censusDivision 7

cbsaActualGeographicLocation 45

providerType 14

caseMixIndex 1.0

operatingCostToChargeRatio 0.12

medicaidRatio 0.1836

uncompensatedCareAmount 1296.3

internsToBedsRatio 0.0421

vbpAdjustment 1.0057304487

hhrAdjustment 0.9999

censusDivision 7

cbsaActualGeographicLocation 45

providerType 14

caseMixIndex 1.0

operatingCostToChargeRatio 0.12

medicaidRatio 0.1836

uncompensatedCareAmount 1455.84

internsToBedsRatio 0.0421

vbpAdjustment 0.9954616765

hhrAdjustment 0.9995

censusDivision 7

cbsaActualGeographicLocation 45

providerType 14

caseMixIndex 1.0

operatingCostToChargeRatio 0.111

medicaidRatio 0.2068

uncompensatedCareAmount 1455.84

vbpAdjustment 0.9954616765

hhrAdjustment 0.9995

censusDivision 7

cbsaActualGeographicLocation 45

providerType 14

caseMixIndex 1.0

operatingCostToChargeRatio 0.111

medicaidRatio 0.2068

uncompensatedCareAmount 1455.84

vbpAdjustment 0.9954616765

hhrAdjustment 0.9995

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.111

medicaidRatio 0.2068

uncompensatedCareAmount 1455.84

vbpAdjustment 0.9954616765

hhrAdjustment 0.9995

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.111

medicaidRatio 0.2068

uncompensatedCareAmount 1279.48

hhrAdjustment 0.9968

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.09

medicaidRatio 0.1356

uncompensatedCareAmount 1279.48

hhrAdjustment 0.9968

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.091

medicaidRatio 0.1356

uncompensatedCareAmount 1279.48

hhrAdjustment 0.9968

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.091

medicaidRatio 0.1356

uncompensatedCareAmount 1279.48

hhrAdjustment 0.9968

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.091

medicaidRatio 0.1356

uncompensatedCareAmount 1279.48

hhrAdjustment 0.9968

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.091

medicaidRatio 0.1356

uncompensatedCareAmount 1279.48

hhrAdjustment 0.9968

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.091

medicaidRatio 0.1356

uncompensatedCareAmount 1279.48

hhrAdjustment 0.9968

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.091

medicaidRatio 0.1356

uncompensatedCareAmount 1205.37

hhrAdjustment 0.9946

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.103

medicaidRatio 0.1622

uncompensatedCareAmount 1205.37

hhrAdjustment 0.9946

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.101

medicaidRatio 0.1622

uncompensatedCareAmount 1205.37

hhrAdjustment 0.9946

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.101

medicaidRatio 0.1622

uncompensatedCareAmount 1205.37

hhrAdjustment 0.9946

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.101

medicaidRatio 0.1622

uncompensatedCareAmount 1205.37

hhrAdjustment 0.9946

censusDivision 7

cbsaActualGeographicLocation 45

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.097

medicaidRatio 0.1333

uncompensatedCareAmount 1240.0

vbpAdjustment 1.0014380749

hhrAdjustment 0.9938

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.097

medicaidRatio 0.1333

uncompensatedCareAmount 1826.38

vbpAdjustment 1.0059087827

hhrAdjustment 0.9987

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.11

medicaidRatio 0.1466

uncompensatedCareAmount 1826.38

vbpAdjustment 1.0059087827

hhrAdjustment 0.9987

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.11

medicaidRatio 0.1466

uncompensatedCareAmount 1826.38

vbpAdjustment 1.0059087827

hhrAdjustment 0.9987

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.11

medicaidRatio 0.1466

uncompensatedCareAmount 984.2

vbpAdjustment 1.007162918

hhrAdjustment 0.9994

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.11

medicaidRatio 0.1466

uncompensatedCareAmount 984.2

vbpAdjustment 1.007162918

hhrAdjustment 0.9994

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.109

medicaidRatio 0.1325

uncompensatedCareAmount 984.2

vbpAdjustment 1.007162918

hhrAdjustment 0.9994

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.109

medicaidRatio 0.1325

uncompensatedCareAmount 984.2

vbpAdjustment 1.007162918

hhrAdjustment 0.9994

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.109

medicaidRatio 0.1325

uncompensatedCareAmount 446.83

vbpAdjustment 0.9971284947

hhrAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 00

caseMixIndex 1.0

operatingCostToChargeRatio 0.117

medicaidRatio 0.1397

uncompensatedCareAmount 446.83

vbpAdjustment 0.9971284947

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.071

deviceCostToChargeRatio 0.175

specialPaymentIndicator

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.071

deviceCostToChargeRatio 0.175

specialPaymentIndicator

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.08

deviceCostToChargeRatio 0.287

specialPaymentIndicator

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.08

deviceCostToChargeRatio 0.287

specialPaymentIndicator Y

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.076

deviceCostToChargeRatio 0.239

specialPaymentIndicator Y

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.076

deviceCostToChargeRatio 0.239

specialPaymentIndicator Y

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.069

deviceCostToChargeRatio 0.242

specialPaymentIndicator Y

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.07

deviceCostToChargeRatio 0.241

specialPaymentIndicator Y

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.07

deviceCostToChargeRatio 0.241

specialPaymentIndicator Y

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.074

deviceCostToChargeRatio 0.237

specialPaymentIndicator Y

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.073

deviceCostToChargeRatio 0.237

specialPaymentIndicator Y

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.073

deviceCostToChargeRatio 0.237

specialPaymentIndicator Y

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 45

providerType 00

operatingCostToChargeRatio 0.076

deviceCostToChargeRatio 0.321

specialPaymentIndicator Y

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.076

deviceCostToChargeRatio 0.321

specialPaymentIndicator

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.08

deviceCostToChargeRatio 0.34

specialPaymentIndicator

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.08

deviceCostToChargeRatio 0.34

specialPaymentIndicator

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.081

deviceCostToChargeRatio 0.241

specialPaymentIndicator

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.081

deviceCostToChargeRatio 0.241

specialPaymentIndicator

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 23104

providerType 00

operatingCostToChargeRatio 0.082

deviceCostToChargeRatio 0.253

specialPaymentIndicator

costOfLivingAdjustment 0.869

carrierCode 04412

localityCode 99

LAKE GRANBURY MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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