CCN: 510038 NPI: 1477559433 Organization

STONEWALL JACKSON MEMORIAL HOSPITAL

230 HOSPITAL PLZ
WESTON, WV 264528558

Contact Information

Phone 3042698000
Fax 3042698090
Enumeration Date 2005-06-24
Last Updated 2022-07-06

Taxonomies

Code: 282NR1301X (Primary) License State: WV License: 510038

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 51

providerType 00

caseMixIndex 0.118

operatingCostToChargeRatio 0.465

medicaidRatio 0.2735

uncompensatedCareAmount 712.23

vbpAdjustment 0.9870684098

hhrAdjustment 0.9941

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.465

medicaidRatio 0.2735

uncompensatedCareAmount 712.23

vbpAdjustment 0.9870684098

hhrAdjustment 0.9941

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.465

medicaidRatio 0.2735

uncompensatedCareAmount 730.75

hhrAdjustment 0.9957

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.465

medicaidRatio 0.2621

uncompensatedCareAmount 730.75

hhrAdjustment 0.9957

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.465

medicaidRatio 0.2621

uncompensatedCareAmount 730.75

hhrAdjustment 0.9957

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.465

medicaidRatio 0.2621

uncompensatedCareAmount 730.75

hhrAdjustment 0.9957

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.465

medicaidRatio 0.2621

uncompensatedCareAmount 665.12

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.367

medicaidRatio 0.2787

uncompensatedCareAmount 665.12

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.367

medicaidRatio 0.2787

uncompensatedCareAmount 665.12

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.367

medicaidRatio 0.2787

uncompensatedCareAmount 665.12

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.367

medicaidRatio 0.2978

uncompensatedCareAmount 665.12

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.367

medicaidRatio 0.2978

uncompensatedCareAmount 562.58

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.463

medicaidRatio 0.2978

uncompensatedCareAmount 562.58

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.463

medicaidRatio 0.2721

uncompensatedCareAmount 562.58

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.463

medicaidRatio 0.2721

uncompensatedCareAmount 562.58

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.595

medicaidRatio 0.2721

uncompensatedCareAmount 562.58

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.595

medicaidRatio 0.2721

uncompensatedCareAmount 562.58

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.595

medicaidRatio 0.2721

uncompensatedCareAmount 562.58

hhrAdjustment 0.9965

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.595

medicaidRatio 0.2721

uncompensatedCareAmount 442.21

hhrAdjustment 0.9836

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.595

medicaidRatio 0.2403

uncompensatedCareAmount 442.21

hhrAdjustment 0.9836

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.595

medicaidRatio 0.2403

uncompensatedCareAmount 442.21

hhrAdjustment 0.9836

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.652

medicaidRatio 0.2403

uncompensatedCareAmount 442.21

hhrAdjustment 0.9836

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.652

medicaidRatio 0.2403

uncompensatedCareAmount 442.21

hhrAdjustment 0.9836

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.652

medicaidRatio 0.2403

uncompensatedCareAmount 442.21

hhrAdjustment 0.9836

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.652

medicaidRatio 0.2403

uncompensatedCareAmount 800.24

vbpAdjustment 1.020203073

hhrAdjustment 0.9816

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.652

medicaidRatio 0.2403

uncompensatedCareAmount 800.24

vbpAdjustment 1.020203073

hhrAdjustment 0.9816

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.652

medicaidRatio 0.226

uncompensatedCareAmount 800.24

vbpAdjustment 1.020203073

hhrAdjustment 0.9816

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.516

medicaidRatio 0.226

uncompensatedCareAmount 800.24

vbpAdjustment 1.020203073

hhrAdjustment 0.9816

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.516

medicaidRatio 0.226

uncompensatedCareAmount 370.98

vbpAdjustment 1.0172131567

hhrAdjustment 0.97

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.516

medicaidRatio 0.226

uncompensatedCareAmount 370.98

vbpAdjustment 1.0172131567

hhrAdjustment 0.97

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.623

medicaidRatio 0.184

uncompensatedCareAmount 370.98

vbpAdjustment 1.0172131567

hhrAdjustment 0.97

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 0.118

operatingCostToChargeRatio 0.623

medicaidRatio 0.184

uncompensatedCareAmount 370.98

vbpAdjustment 1.0172131567

hhrAdjustment 0.97

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 1.118

operatingCostToChargeRatio 0.623

medicaidRatio 0.184

uncompensatedCareAmount 523.56

vbpAdjustment 1.0131359156

hhrAdjustment 0.9716

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 1.118

operatingCostToChargeRatio 0.623

medicaidRatio 0.184

uncompensatedCareAmount 523.56

vbpAdjustment 1.0131359156

hhrAdjustment 0.9716

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 1.118

operatingCostToChargeRatio 0.623

medicaidRatio 0.2087

uncompensatedCareAmount 523.56

vbpAdjustment 1.0131359156

hhrAdjustment 0.9716

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 1.118

operatingCostToChargeRatio 0.742

medicaidRatio 0.2087

uncompensatedCareAmount 523.56

vbpAdjustment 1.0131359156

hhrAdjustment 0.9716

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 1.118

operatingCostToChargeRatio 0.742

medicaidRatio 0.2087

uncompensatedCareAmount 523.56

vbpAdjustment 1.0131359156

hhrAdjustment 0.9716

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 1.118

operatingCostToChargeRatio 0.742

medicaidRatio 0.2087

uncompensatedCareAmount 533.19

vbpAdjustment 1.0083306748

hhrAdjustment 0.97

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 1.118

operatingCostToChargeRatio 0.535

medicaidRatio 0.2152

uncompensatedCareAmount 533.19

vbpAdjustment 1.0083306748

hhrAdjustment 0.97

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 1.118

operatingCostToChargeRatio 0.535

medicaidRatio 0.2152

uncompensatedCareAmount 533.19

vbpAdjustment 1.0083306748

hhrAdjustment 0.97

censusDivision 3

cbsaActualGeographicLocation 51

providerType 14

caseMixIndex 1.118

operatingCostToChargeRatio 0.535

medicaidRatio 0.2152

uncompensatedCareAmount 534.88

vbpAdjustment 1.0083306748

hhrAdjustment 0.97

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 51

providerType 00

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.775

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 00

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.775

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 00

operatingCostToChargeRatio 0.209

deviceCostToChargeRatio 0.775

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 00

operatingCostToChargeRatio 0.344

deviceCostToChargeRatio 0.802

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 00

operatingCostToChargeRatio 0.344

deviceCostToChargeRatio 0.802

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 00

operatingCostToChargeRatio 0.301

deviceCostToChargeRatio 0.805

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 00

operatingCostToChargeRatio 0.284

deviceCostToChargeRatio 0.792

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 00

operatingCostToChargeRatio 0.284

deviceCostToChargeRatio 0.792

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 14

operatingCostToChargeRatio 0.284

deviceCostToChargeRatio 0.792

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 14

operatingCostToChargeRatio 0.284

deviceCostToChargeRatio 0.808

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 14

operatingCostToChargeRatio 0.284

deviceCostToChargeRatio 0.808

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 14

operatingCostToChargeRatio 0.267

deviceCostToChargeRatio 0.719

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 14

operatingCostToChargeRatio 0.267

deviceCostToChargeRatio 0.719

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 14

operatingCostToChargeRatio 0.282

deviceCostToChargeRatio 0.806

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 14

operatingCostToChargeRatio 0.282

deviceCostToChargeRatio 0.806

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 14

operatingCostToChargeRatio 0.29

deviceCostToChargeRatio 1.835

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 14

operatingCostToChargeRatio 0.29

deviceCostToChargeRatio 1.835

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

cbsaActualGeographicLocation 51

providerType 14

operatingCostToChargeRatio 0.308

deviceCostToChargeRatio 0.675

specialPaymentIndicator

costOfLivingAdjustment 0.867

carrierCode 11402

localityCode 16

STONEWALL JACKSON MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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