15D0704374 CLIA NUMBER - NEWBURGH HEALTHCARE CENTER

Laboratory Demographics

CLIA Number: 15D0704374

Facility Name: NEWBURGH HEALTHCARE CENTER

Facility Address:
10466 POLLACK AVE
NEWBURGH, IN
ZIP 47630
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Facility Phone Number: 812 853-2931

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1780633800

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	15D0704374
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	NEWBURGH HEALTHCARE CENTER
Street	10466 POLLACK AVE
City	NEWBURGH
State	IN
ZIP	47630
Phone	812 853-2931
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