LIMA (1349)    INSTITUTION (4)

Name Value
NAME LIMA
STATE OHIO
STREET ADDR. 1 750 WEST HIGH STREET
STREET ADDR. 2 SUITE 350
CITY LIMA
ZIP 45801-9998
OFFICIAL VA NAME LIMA CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LIMA VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1437106259
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 552GB
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1437106259
  • CODING SYSTEM:   VASTANUM
    ID:   552GB
  • CODING SYSTEM:   CLIA
    ID:   36D1031466