CLIFTON PARK VA CLINIC (1246)    INSTITUTION (4)

Name Value
NAME CLIFTON PARK VA CLINIC
STATE NEW YORK
STREET ADDR. 1 963 ROUTE 146
CITY CLIFTON PARK
ZIP 12065-3636
OFFICIAL VA NAME CLIFTON PARK CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CLIFTON PARK VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1831141969
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 528GY
HISTORY
  • EFFECTIVE DATE:   2000-07-01 00:00:00
    REALIGNED FROM:   ZZ CLIFTON PARK
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1831141969
  • CODING SYSTEM:   VASTANUM
    ID:   528GY
  • CODING SYSTEM:   CLIA
    ID:   33D1097469