| NAME |
ATHENS VA CLINIC (626GN) |
| STATE |
TENNESSEE |
| STREET ADDR. 1 |
1320 DECATUR PIKE |
| CITY |
ATHENS |
| ZIP |
37303-2418 |
| OFFICIAL VA NAME |
ATHENS VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ATHENS VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1245281542
-
- 2014-03-31 00:00:00
- STATUS: ACTIVE
- NPI: 1083079396
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
626GN |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1245281542
-
- CODING SYSTEM: VASTANUM
- ID: 538GA
|
