| NAME |
GUAM CLINIC |
| STATE |
GUAM |
| STREET ADDR. 1 |
498 CHALAN PALAYSO |
| CITY |
GUAM |
| ZIP |
96910-6427 |
| OFFICIAL VA NAME |
GUAM CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GUAM VA CBOC |
| ST. ADDR. 1 (MAILING) |
498 CHALAN PALAYSO |
| CITY (MAILING) |
AGANA HEIGHTS |
| STATE (MAILING) |
GUAM |
| ZIP (MAILING) |
96910-6427 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1700826401
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
HAWAII-ALEUTIAN |
| COUNTRY |
USA |
| TIMEZONE EXCEPTION |
SST Only |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
459GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1700826401
-
- CODING SYSTEM: VASTANUM
- ID: 459GE
|
