NORTH BEND VA CLINIC (1702)    INSTITUTION (4)

Name Value
NAME NORTH BEND VA CLINIC
STATE OREGON
STREET ADDR. 1 2191 MARION STREET
CITY NORTH BEND
ZIP 97459-2314
OFFICIAL VA NAME NORTH BEND VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME NORTH BEND VA CLINIC
ST. ADDR. 1 (MAILING) 2191 MARION STREET
CITY (MAILING) NORTH BEND
STATE (MAILING) OREGON
ZIP (MAILING) 97459-2314
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1841241932
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 653GA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1841241932
  • CODING SYSTEM:   VASTANUM
    ID:   653GA