DELRAY BEACH VA CLINIC (1324)    INSTITUTION (4)

Name Value
NAME DELRAY BEACH VA CLINIC
STATE FLORIDA
STREET ADDR. 1 4800 LINTON BLVD
CITY DELRAY BEACH
ZIP 33445-6584
OFFICIAL VA NAME DELRAY BEACH VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DELRAY BEACH VA CBOC
ST. ADDR. 1 (MAILING) 4800 LINTON BLVD
CITY (MAILING) DELRAY BEACH
STATE (MAILING) FLORIDA
ZIP (MAILING) 33445-6584
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1003869785
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 548GB
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1003869785
  • CODING SYSTEM:   VASTANUM
    ID:   548GB
  • CODING SYSTEM:   CLIA
    ID:   38D1017409