| NAME |
JOPLIN VA CLINIC |
| STATE |
MISSOURI |
| STREET ADDR. 1 |
3015 SOUTH CONNECTICUT |
| CITY |
JOPLIN |
| ZIP |
64804-3035 |
| OFFICIAL VA NAME |
JOPLIN VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
JOPLIN VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1902845316
-
- 2012-11-08 00:00:00
- STATUS: ACTIVE
- NPI: 1134473440
-
- 2019-02-12 00:00:00
- STATUS: ACTIVE
- NPI: 1992264824
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
564GF |
| HISTORY |
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1902845316
-
- CODING SYSTEM: VASTANUM
- ID: 552GD
-
- CODING SYSTEM: CLIA
- ID: 36D0988520
|
