| NAME |
TWIN FALLS VA CLINIC |
| STATE |
IDAHO |
| STREET ADDR. 1 |
260 2ND AVE E STREET |
| STREET ADDR. 2 |
SUITE 12 |
| CITY |
TWIN FALLS |
| ZIP |
83301-6242 |
| OFFICIAL VA NAME |
TWIN FALLS VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
TWIN FALLS VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1164461042
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
531GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1164461042
-
- CODING SYSTEM: VASTANUM
- ID: 531GE
-
- CODING SYSTEM: CLIA
- ID: 13D1014072
|
