SIDNEY VA CLINC (1057)    INSTITUTION (4)

Name Value
NAME SIDNEY VA CLINC
STATE NEBRASKA
STREET ADDR. 1 1116 10TH ST
CITY SIDNEY
ZIP 69162-2001
OFFICIAL VA NAME SIDNEY VA CLINC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SIDNEY VA CLINIC
ST. ADDR. 1 (MAILING) 1116 10TH ST
CITY (MAILING) SIDNEY
STATE (MAILING) NEBRASKA
ZIP (MAILING) 69162-2001
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1891733945
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 442GB
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1891733945
  • CODING SYSTEM:   VASTANUM
    ID:   442GB