| NAME |
FARGO VA HCS |
| STATE |
NORTH DAKOTA |
| STREET ADDR. 1 |
2101 ELM ST N |
| CITY |
FARGO |
| ZIP |
58102-2417 |
| OFFICIAL VA NAME |
FARGO VA HCS |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
FARGO VAMC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1437100971
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
437 |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 2101 NORTH ELM STREET
- CITY (CHANGED FROM): FARGO
- STATE (CHANGED FROM): NORTH DAKOTA
- ZIP (CHANGED FROM): 58102-2417
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1437100971
-
- CODING SYSTEM: VASTANUM
- ID: 437
-
- CODING SYSTEM: CLIA
- ID: 35D0987118
|