| NAME |
PORTSMOUTH VA CLINIC (OH) |
| STATE |
OHIO |
| STREET ADDR. 1 |
4038 RHODES AVENUE |
| CITY |
NEW BOSTON |
| ZIP |
45662-5527 |
| OFFICIAL VA NAME |
PORTSMOUTH VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
NEW BOSTON VA CLINIC |
| ST. ADDR. 1 (MAILING) |
840 GALLIA STREET |
| CITY (MAILING) |
PORTSMOUTH |
| STATE (MAILING) |
OHIO |
| ZIP (MAILING) |
45662-4164 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1992742241
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
538GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1992742241
-
- CODING SYSTEM: VASTANUM
- ID: 538GB
-
- CODING SYSTEM: CLIA
- ID: 36D1002326
|
