| NAME |
READING |
| STATE |
PENNSYLVANIA |
| STREET ADDR. 1 |
2762 CENTURY BLVD, #120 |
| CITY |
WYOMISSING |
| ZIP |
19610-3345 |
| OFFICIAL VA NAME |
BERKS VA OUTPATIENT CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WYOMISSING VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1639117641
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
595GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1639117641
-
- CODING SYSTEM: VASTANUM
- ID: 595GD
-
- CODING SYSTEM: CLIA
- ID: 39D1042988
|
