| NAME |
FORT SMITH VA CLINIC |
| STATE |
ARKANSAS |
| STREET ADDR. 1 |
5700 PHOENIX PLACE |
| CITY |
FORT SMITH |
| ZIP |
72903-6073 |
| OFFICIAL VA NAME |
FORT SMITH VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
FORT SMITH VA CLINIC |
| ST. ADDR. 1 (MAILING) |
5700 PHOENIX PLACE |
| CITY (MAILING) |
FORT SMITH |
| STATE (MAILING) |
ARKANSAS |
| ZIP (MAILING) |
72903-6073 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1003869991
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
564GB |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 1500 DODSON
- CITY (CHANGED FROM): FORT SMITH
- STATE (CHANGED FROM): ARKANSAS
- ZIP (CHANGED FROM): 72901-5182
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1003869991
-
- CODING SYSTEM: VASTANUM
- ID: 564GB
|
