| NAME |
VISALIA VA CLINIC |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
500 N SANTA FE ST |
| CITY |
VISALIA |
| ZIP |
93292-5065 |
| OFFICIAL VA NAME |
VISALIA VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
VISALIA VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1265472658
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
570GB |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 1050 N CHERRY ST
- CITY (CHANGED FROM): TULARE
- STATE (CHANGED FROM): CALIFORNIA
- ZIP (CHANGED FROM): 93274-2251
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1265472658
-
- CODING SYSTEM: VASTANUM
- ID: 570GB
-
- CODING SYSTEM: CLIA
- ID: 05D1058650
|
