| NAME |
KOSCIUSKO VA CLINIC |
| STATE |
MISSISSIPPI |
| STREET ADDR. 1 |
405 WEST ADAMS ST |
| CITY |
KOSCIUSKO |
| ZIP |
39090-3617 |
| OFFICIAL VA NAME |
KOSCIUSKO VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
KOSCIUSKO VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1841232097
-
- 2014-04-01 00:00:00
- STATUS: ACTIVE
- NPI: 1841232097
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
586GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1841232097
-
- CODING SYSTEM: VASTANUM
- ID: 586GA
|
