| NAME |
TULLAHOMA |
| STATE |
TENNESSEE |
| STREET ADDR. 1 |
225 VON KARMAN ROAD |
| CITY |
ARNOLD AFB |
| ZIP |
37389-9998 |
| OFFICIAL VA NAME |
TULLAHOMA COMMUNITY BASED OUTPATIENT CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
TULLAHOMA VA CLINIC |
| ST. ADDR. 1 (MAILING) |
225 FIRST STREET |
| CITY (MAILING) |
TULLAHOMA |
| STATE (MAILING) |
TENNESSEE |
| ZIP (MAILING) |
37389-2402 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1326082546
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
626GG |
| HISTORY |
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1326082546
-
- CODING SYSTEM: VASTANUM
- ID: 626GG
|
