| NAME |
TRAVERSE CITY VA CLINIC |
| STATE |
MICHIGAN |
| STREET ADDR. 1 |
701 US HIGHWAY 31 SOUTH |
| CITY |
TRAVERSE CITY |
| ZIP |
49685-8016 |
| OFFICIAL VA NAME |
TRAVERSE CITY VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
TRAVERSE CITY 1 VA CLINIC |
| CITY (MAILING) |
TRAVERSE CITY |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1811931918
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
655GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1811931918
-
- CODING SYSTEM: VASTANUM
- ID: 655GB
-
- CODING SYSTEM: CLIA
- ID: 23D1048370
|
