| NAME |
FLORENCE, SC CBOC |
| STATE |
SOUTH CAROLINA |
| STREET ADDR. 1 |
1380 CELEBRATION BLVD |
| CITY |
FLORENCE |
| ZIP |
29501-5495 |
| OFFICIAL VA NAME |
FLORENCE CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
FLORENCE VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1588617815
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
544GB |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 1822 SALLY HILL FARM BLVD.
- CITY (CHANGED FROM): FLORENCE
- STATE (CHANGED FROM): SOUTH CAROLINA
- ZIP (CHANGED FROM): 29501-6987
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1588617815
-
- CODING SYSTEM: VASTANUM
- ID: 544GB
-
- CODING SYSTEM: CLIA
- ID: 42D1045971
|
