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27D0884022 CLIA NUMBER - WEL-HOME HEALTH

Laboratory Demographics

CLIA Number: 27D0884022

Facility Name: WEL-HOME HEALTH

Facility Address:
2909 WILSON STREET
MILES CITY, MT
ZIP 59301
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Facility Phone Number: 406 874-5134

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1528040904

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 27D0884022
LAB Type Home Health Agency
Facility Name WEL-HOME HEALTH
Street 2909 WILSON STREET
City MILES CITY
State MT
ZIP 59301
Phone 406 874-5134
CertificateType 4
CertificateEffectiveDate 3/23/2024
CertificateExpirationDate 3/22/2026
FacilityType Waiver

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