| NAME |
ZZ-LECANTO VA CLINIC (NFL) |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
2804 W. Marc Knighton Court, Suite A |
| CITY |
Lecanto |
| ZIP |
34461-6301 |
| OFFICIAL VA NAME |
LECANTO VA CLINIC (NFL) |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LECANTO VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-03-26 00:00:00
- STATUS: ACTIVE
- NPI: 1538211545
-
- 2021-02-11 00:00:00
- STATUS: INACTIVE
- NPI: 1538211545
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
573GG |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 573GG
-
- CODING SYSTEM: CLIA
- ID: 10D1001578
|
