| NAME |
ROCH CLINTON CROSSINGS VA CLIN |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
919 WESTFALL RD STE 200 |
| CITY |
ROCHESTER |
| ZIP |
14618-2638 |
| OFFICIAL VA NAME |
ROCH CLINTON CROSSINGS VA CLIN |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ROCHESTER VA CLINIC |
| ST. ADDR. 1 (MAILING) |
919 WESTFALL RD, BUILDING B, STE 200 |
| CITY (MAILING) |
ROCHESTER |
| STATE (MAILING) |
NEW YORK |
| ZIP (MAILING) |
14618-2638 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1841233491
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
528GE |
| HISTORY |
-
- EFFECTIVE DATE: 1999-10-01 00:00:00
- REALIGNED FROM: ZZ ROCHESTER
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1841233491
-
- CODING SYSTEM: VASTANUM
- ID: 528GE
-
- CODING SYSTEM: CLIA
- ID: 33D1017897
|
