15D0685103 CLIA NUMBER - GREENE COUNTY GENERAL HOSPITAL NURSING

Laboratory Demographics

CLIA Number: 15D0685103

Facility Name: GREENE COUNTY GENERAL HOSPITAL NURSING

Facility Address:
1185 N 1000 W
LINTON, IN
ZIP 47441
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Facility Phone Number: 812 847-5212

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1821585563

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D0685103
LAB Type	Hospital
Facility Name	GREENE COUNTY GENERAL HOSPITAL NURSING
Street	1185 N 1000 W
City	LINTON
State	IN
ZIP	47441
Phone	812 847-5212
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