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15D0667366 CLIA NUMBER - CLARK COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 15D0667366

Facility Name: CLARK COUNTY HEALTH DEPARTMENT

Facility Address:
1201 WALL STREET
JEFFERSONVILLE, IN
ZIP 47130
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Facility Phone Number: 812 288-2706

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1467516641

Taxonomy: 171M00000X - Case Manager/Care Coordinator
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

CLIA Record

Field Name Field Value
CLIA Number 15D0667366
LAB Type Community Clinic
Facility Name CLARK COUNTY HEALTH DEPARTMENT
Street 1201 WALL STREET
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 288-2706
CertificateType 4
CertificateEffectiveDate 3/13/2024
CertificateExpirationDate 3/12/2026
FacilityType Waiver

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