28D0896883 CLIA NUMBER - CHADRON COMMUNITY HOSP CORP D/B/A WESTERN COMMUNITY HEALTH RESOURCES

Laboratory Demographics

CLIA Number: 28D0896883

Facility Name: CHADRON COMMUNITY HOSP CORP D/B/A WESTERN COMMUNITY HEALTH RESOURCES

Facility Address:
300 SHELTON STREET
CHADRON, NE
ZIP 69337
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Facility Phone Number: 308 432-8979

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1134382849

Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

CLIA Record

Field Name Field Value
CLIA Number 28D0896883
LAB Type Community Clinic
Facility Name CHADRON COMMUNITY HOSP CORP D/B/A WESTERN COMMUNITY HEALTH RESOURCES
Street 300 SHELTON STREET
City CHADRON
State NE
ZIP 69337
Phone 308 432-8979
CertificateType 3
CertificateEffectiveDate 4/1/2024
CertificateExpirationDate 3/31/2026
FacilityType PPMP

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