| NAME |
ASHTABULA COUNTY VA CLINIC |
| STATE |
OHIO |
| STREET ADDR. 1 |
2044 LAMBROS LANE |
| CITY |
ASHTABULA |
| ZIP |
44004-2700 |
| OFFICIAL VA NAME |
ASHTABULA COUNTY VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ASHTABULA VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1871544064
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
562GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1871544064
-
- CODING SYSTEM: VASTANUM
- ID: 562GB
-
- CODING SYSTEM: CLIA
- ID: 36D2038689
|
