15D0357225 CLIA NUMBER - HEALTH & HOSP CORP OF MARION CO, THE D/B/A TRAILPOINT VILLAGE

Laboratory Demographics

CLIA Number: 15D0357225

Facility Name: HEALTH & HOSP CORP OF MARION CO, THE D/B/A TRAILPOINT VILLAGE

Facility Address:
1950 RIDGEDALE RD
SOUTH BEND, IN
ZIP 46614
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Facility Phone Number: 574 291-6722

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1851965305

Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

CLIA Record

Field Name	Field Value
CLIA Number	15D0357225
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	HEALTH & HOSP CORP OF MARION CO, THE D/B/A TRAILPOINT VILLAGE
Street	1950 RIDGEDALE RD
City	SOUTH BEND
State	IN
ZIP	46614
Phone	574 291-6722
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024