| NAME |
JOHNSTOWN VA CLINIC |
| STATE |
PENNSYLVANIA |
| STREET ADDR. 1 |
598 GALLERIA DRIVE |
| CITY |
JOHNSTOWN |
| ZIP |
15904-9998 |
| OFFICIAL VA NAME |
JOHNSTOWN VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
JOHNSTOWN VA CLINIC |
| ST. ADDR. 1 (MAILING) |
1425 SCALP AVENUE |
| CITY (MAILING) |
JOHNSTOWN |
| STATE (MAILING) |
PENNSYLVANIA |
| ZIP (MAILING) |
15904-3328 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1831145481
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
503GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1831145481
-
- CODING SYSTEM: VASTANUM
- ID: 503GA
-
- CODING SYSTEM: CLIA
- ID: 39D1002306
|
