| NAME |
LANCASTER VA CLINIC |
| STATE |
OHIO |
| STREET ADDR. 1 |
1550 SHERIDAN DR. SUITE 100 |
| STREET ADDR. 2 |
COLONNADE MEDICAL BUILDING |
| CITY |
LANCASTER |
| ZIP |
43130-1380 |
| OFFICIAL VA NAME |
LANCASTER VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LANCASTER VA CBOC |
| ST. ADDR. 1 (MAILING) |
1550 SHERIDAN DR. SUITE 100 |
| ST. ADDR. 2 (MAILING) |
COLONNADE MEDICAL BUILDING |
| CITY (MAILING) |
LANCASTER |
| STATE (MAILING) |
OHIO |
| ZIP (MAILING) |
43130-1380 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1336195189
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
538GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1336195189
-
- CODING SYSTEM: VASTANUM
- ID: 538GD
-
- CODING SYSTEM: CLIA
- ID: 36D1002322
|
