| NAME |
OSCODA VA CLINIC |
| STATE |
MICHIGAN |
| STREET ADDR. 1 |
5671 SKEEL AVE, SUITE #4 |
| CITY |
OSCODA |
| ZIP |
48750-1535 |
| OFFICIAL VA NAME |
OSCODA VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
OSCODA VA CBOC |
| ST. ADDR. 1 (MAILING) |
5671 SKEEL AVE. |
| CITY (MAILING) |
OSCODA |
| STATE (MAILING) |
MICHIGAN |
| ZIP (MAILING) |
48750-1535 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1265470843
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
655GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1265470843
-
- CODING SYSTEM: VASTANUM
- ID: 655GC
-
- CODING SYSTEM: CLIA
- ID: 23D1048369
|
