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21D0987072 CLIA NUMBER - LOCH RAVEN VAMC

Laboratory Demographics

CLIA Number: 21D0987072

Facility Name: LOCH RAVEN VAMC

Facility Address:
3901 ALAMEDA AVE
BALTIMORE, MD
ZIP 21218
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Facility Phone Number: 410 605-7650

Facility Type: Community Clinic

Certificate Type: Accreditation
NPI Number: 1639475809

Taxonomy: 273Y00000X - Rehabilitation Unit
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.

CLIA Record

Field Name Field Value
CLIA Number 21D0987072
LAB Type Community Clinic
Facility Name LOCH RAVEN VAMC
Street 3901 ALAMEDA AVE
City BALTIMORE
State MD
ZIP 21218
Phone 410 605-7650
CertificateType 1
CertificateEffectiveDate 5/29/2001
CertificateExpirationDate 5/22/2026
FacilityType Accreditation

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