Healther Providers Data Logo

33D0009240 CLIA NUMBER - BON SECOURS COMMUNITY HOSPITAL LABORATORY

Laboratory Demographics

CLIA Number: 33D0009240

Facility Name: BON SECOURS COMMUNITY HOSPITAL LABORATORY

Facility Address:
160 EAST MAIN ST
PORT JERVIS, NY
ZIP 12771
Get Directions

Facility Phone Number: 845 368-5174

Facility Type: Hospital

Certificate Type: Certificate of Compliance
NPI Number: 1891842308

Taxonomy: 273R00000X - Psychiatric Unit
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

CLIA Record

Field Name Field Value
CLIA Number 33D0009240
LAB Type Hospital
Facility Name BON SECOURS COMMUNITY HOSPITAL LABORATORY
Street 160 EAST MAIN ST
City PORT JERVIS
State NY
ZIP 12771
Phone 845 368-5174
CertificateType 2
CertificateEffectiveDate 8/28/1995
CertificateExpirationDate 3/26/2027
FacilityType Compliance

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