| NAME |
FERGUS FALLS |
| STATE |
MINNESOTA |
| STREET ADDR. 1 |
1821 N PARK ST |
| CITY |
FERGUS FALLS |
| ZIP |
56537-1247 |
| OFFICIAL VA NAME |
FERGUS FALLS |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
FERGUS FALLS VA CBOC |
| ST. ADDR. 1 (MAILING) |
FERGUS FALLS VA OUTPATIENT CLINIC |
| CITY (MAILING) |
FERGUS FALLS |
| STATE (MAILING) |
MINNESOTA |
| ZIP (MAILING) |
56537-1247 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1407809478
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
437GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1407809478
-
- CODING SYSTEM: VASTANUM
- ID: 437GC
-
- CODING SYSTEM: CLIA
- ID: 24D0999849
|
