| NAME |
ARDMORE (ORC) |
| STATE |
OKLAHOMA |
| STREET ADDR. 1 |
1235 12th AVENUE NORTHWEST |
| CITY |
ARDMORE |
| ZIP |
73401-1578 |
| OFFICIAL VA NAME |
ARDMORE VETERANS CENTER CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ARDMORE VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1780635128
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
635HB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1780635128
-
- CODING SYSTEM: VASTANUM
- ID: 635HB
-
- CODING SYSTEM: CLIA
- ID: 37D2035167
|
