| NAME |
GLASGOW VA CLINIC |
| STATE |
MONTANA |
| STREET ADDR. 1 |
630 2ND AVENUE SOUTH SUITE A |
| CITY |
GLASGOW |
| ZIP |
59230-2304 |
| OFFICIAL VA NAME |
GLASGOW VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GLASGOW VA CLINIC |
| ST. ADDR. 1 (MAILING) |
630 2ND AVENUE SOUTH SUITE A |
| CITY (MAILING) |
GLASGOW |
| STATE (MAILING) |
MONTANA |
| ZIP (MAILING) |
59230-2304 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1285688770
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
436GI |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1285688770
-
- CODING SYSTEM: VASTANUM
- ID: 436GI
-
- CODING SYSTEM: CLIA
- ID: 27D1107365
|
