| NAME |
ONEONTA VA CLINIC |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
1 FOXCARE DR |
| CITY |
ONEONTA |
| ZIP |
13820-2099 |
| OFFICIAL VA NAME |
ONEONTA VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ONEONTA VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-03-26 00:00:00
- STATUS: ACTIVE
- NPI: 1952458010
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
528G3 |
| HISTORY |
-
- EFFECTIVE DATE: 2000-07-01 00:00:00
- REALIGNED FROM: ZZ SIDNEY
-
- STREET ADDR. 1 (CHANGED FROM): 109 MAIN STREET
- CITY (CHANGED FROM): BAINBRIDGE
- STATE (CHANGED FROM): NEW YORK
- ZIP (CHANGED FROM): 13733-1212
|
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 528G3
-
- CODING SYSTEM: CLIA
- ID: 33D1097465
|
