01D0678849 CLIA NUMBER - CROWNE HEALTH CARE OF FORT PAYNE

Laboratory Demographics

CLIA Number: 01D0678849

Facility Name: CROWNE HEALTH CARE OF FORT PAYNE

Facility Address:
403 13TH ST NW
FORT PAYNE, AL
ZIP 35967
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Facility Phone Number: (256) 845-5990

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1508825076

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name	Field Value
CLIA Number	01D0678849
LAB Type	SKILLED NURSING/NURSING FACILITY
Facility Name	CROWNE HEALTH CARE OF FORT PAYNE
Street	403 13TH ST NW
City	FORT PAYNE
State	AL
ZIP	35967
Phone	(256) 845-5990

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This page was last updated on: 3/23/2022