| NAME |
SUSSEX COUNTY VA CLINIC |
| STATE |
DELAWARE |
| STREET ADDR. 1 |
21748 ROTH AVENUE |
| CITY |
GEORGETOWN |
| ZIP |
19947-3239 |
| OFFICIAL VA NAME |
SUSSEX COUNTY VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GEORGETOWN VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1033157946
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
460GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1033157946
-
- CODING SYSTEM: VASTANUM
- ID: 460GA
-
- CODING SYSTEM: CLIA
- ID: 08D1105707
|
