Healther Providers Data Logo

17D1064702 CLIA NUMBER - NEOSHO MEM REG MED CTR HOME HLT AGENCY

Laboratory Demographics

CLIA Number: 17D1064702

Facility Name: NEOSHO MEM REG MED CTR HOME HLT AGENCY

Facility Address:
AROLYN HEIGHTS OFFICE BUILDING 1709 WEST 7TH
CHANUTE, KS
ZIP 66720
Get Directions

Facility Phone Number: 620 432-5436

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1174639504

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 17D1064702
LAB Type Home Health Agency
Facility Name NEOSHO MEM REG MED CTR HOME HLT AGENCY
Street AROLYN HEIGHTS OFFICE BUILDING 1709 WEST 7TH
City CHANUTE
State KS
ZIP 66720
Phone 620 432-5436
CertificateType 4
CertificateEffectiveDate 2/12/2023
CertificateExpirationDate 2/11/2025
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