| NAME |
HAVERHILL VA CLINIC |
| STATE |
MASSACHUSETTS |
| STREET ADDR. 1 |
209 SUMMER ST |
| CITY |
HAVERHILL |
| ZIP |
01830-6319 |
| OFFICIAL VA NAME |
HAVERHILL VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
HAVERHILL VA CLINIC |
| ST. ADDR. 1 (MAILING) |
108 MERRIMACK STREET |
| CITY (MAILING) |
HAVERHILL |
| STATE (MAILING) |
MASSACHUSETTS |
| ZIP (MAILING) |
01830-5210 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1750336194
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
518GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1750336194
-
- CODING SYSTEM: VASTANUM
- ID: 518GB
|
