| NAME |
MCKEAN COUNTY VA CLINIC |
| STATE |
PENNSYLVANIA |
| STREET ADDR. 1 |
20 FOSTER BROOK BLVD |
| CITY |
BRADFORD |
| ZIP |
16701-3274 |
| OFFICIAL VA NAME |
MCKEAN COUNTY VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
BRADFORD VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1598703118
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
562GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1598703118
-
- CODING SYSTEM: VASTANUM
- ID: 562GC
-
- CODING SYSTEM: CLIA
- ID: 39D2198508
|
