GRAFTON VA CLINIC (1048)    INSTITUTION (4)

Name Value
NAME GRAFTON VA CLINIC
STATE NORTH DAKOTA
STREET ADDR. 1 1319 WEST 11TH STREET
CITY GRAFTON
ZIP 58237-2138
OFFICIAL VA NAME GRAFTON VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GRAFTON VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1457306813
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 437GA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1457306813
  • CODING SYSTEM:   VASTANUM
    ID:   437GA
  • CODING SYSTEM:   CLIA
    ID:   35D1044923