Healther Providers Data Logo

15D1001384 CLIA NUMBER - COVERED BRIDGE HEALTH CAMPUS

Laboratory Demographics

CLIA Number: 15D1001384

Facility Name: COVERED BRIDGE HEALTH CAMPUS

Facility Address:
1675 W TIPTON ST
SEYMOUR, IN
ZIP 47274
Get Directions

Facility Phone Number: 812 523-6405

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1952412546

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 15D1001384
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COVERED BRIDGE HEALTH CAMPUS
Street 1675 W TIPTON ST
City SEYMOUR
State IN
ZIP 47274
Phone 812 523-6405
CertificateType 4
CertificateEffectiveDate 7/9/2022
CertificateExpirationDate 7/8/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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