| NAME |
NORTH PINELLAS VA CLINIC |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
26286 US HIGHWAY19 N |
| CITY |
CLEARWATER |
| ZIP |
33761-4506 |
| OFFICIAL VA NAME |
NORTH PINELLAS VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CLEARWATER VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1245282334
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
516GC |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 35209 US HWY 19 N
- CITY (CHANGED FROM): PALM HARBOR
- STATE (CHANGED FROM): FLORIDA
- ZIP (CHANGED FROM): 34684-1908
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1245282334
-
- CODING SYSTEM: VASTANUM
- ID: 516GC
-
- CODING SYSTEM: CLIA
- ID: 10D0999470
|
