ATLANTIC COUNTY VA CLINIC (1080)    INSTITUTION (4)

Name Value
NAME ATLANTIC COUNTY VA CLINIC
STATE NEW JERSEY
STREET ADDR. 1 1909 NEW RD #302
CITY NORTHFIELD
ZIP 08225-1537
OFFICIAL VA NAME ATLANTIC COUNTY VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME NORTHFIELD VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1295775682
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 460HE
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1295775682
  • CODING SYSTEM:   VASTANUM
    ID:   460HE
  • CODING SYSTEM:   CLIA
    ID:   31D2019905