| NAME |
KONA CLINIC |
| STATE |
HAWAII |
| STREET ADDR. 1 |
75-377 HUALALAI RD |
| CITY |
KAILUA-KONA |
| ZIP |
96740-9724 |
| OFFICIAL VA NAME |
KONA CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
KAILUA-KONA VA CBOC |
| ST. ADDR. 1 (MAILING) |
75-377 HUALALAI RD |
| CITY (MAILING) |
KAILUA-KONA |
| STATE (MAILING) |
HAWAII |
| ZIP (MAILING) |
96740-9724 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1053367458
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
HAWAII-ALEUTIAN |
| COUNTRY |
USA |
| TIMEZONE EXCEPTION |
SST Only |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
459GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1053367458
-
- CODING SYSTEM: VASTANUM
- ID: 459GC
-
- CODING SYSTEM: CLIA
- ID: 12D1043401
|
