| NAME |
GREENVILLE VA CLINIC TX |
| STATE |
TEXAS |
| STREET ADDR. 1 |
8325 JACK FINNEY BLVD |
| CITY |
GREENVILLE |
| ZIP |
75402-9998 |
| OFFICIAL VA NAME |
GREENVILLE VA CLINIC TX |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GREENVILLE VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1811942121
-
- 2021-12-15 00:00:00
- STATUS: ACTIVE
- NPI: 1811942121
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
549GH |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1811942121
-
- CODING SYSTEM: VASTANUM
- ID: 549GH
-
- CODING SYSTEM: CLIA
- ID: 45D0481880
|
