| NAME |
HILO CLINIC |
| STATE |
HAWAII |
| STREET ADDR. 1 |
45 MOHOULI STREET |
| CITY |
HILO |
| ZIP |
96720-7210 |
| OFFICIAL VA NAME |
HILO CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
HILO VA CLINIC |
| ST. ADDR. 1 (MAILING) |
1285 WAIANAUNUE AVE., STE 211 |
| CITY (MAILING) |
HILO |
| STATE (MAILING) |
HAWAII |
| ZIP (MAILING) |
96720-1209 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1396791356
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
HAWAII-ALEUTIAN |
| COUNTRY |
USA |
| TIMEZONE EXCEPTION |
SST Only |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
459GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1396791356
-
- CODING SYSTEM: VASTANUM
- ID: 459GB
-
- CODING SYSTEM: CLIA
- ID: 12D1043404
|
