| NAME |
BROOKINGS VA CLINIC |
| STATE |
OREGON |
| STREET ADDR. 1 |
840 RAILROAD ST |
| CITY |
BROOKINGS |
| ZIP |
97415-9998 |
| OFFICIAL VA NAME |
BROOKINGS VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
BROOKINGS VA CLINIC |
| ST. ADDR. 1 (MAILING) |
840 RAILROAD ST |
| CITY (MAILING) |
BROOKINGS |
| STATE (MAILING) |
OREGON |
| ZIP (MAILING) |
97415-9998 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1992756639
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
653GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1992756639
-
- CODING SYSTEM: VASTANUM
- ID: 653GB
-
- CODING SYSTEM: CLIA
- ID: 38D0988133
|
