| NAME |
DANVILLE VA CLINIC |
| STATE |
VIRGINIA |
| STREET ADDR. 1 |
325 PIEDMONT DR # 2005 |
| CITY |
DANVILLE |
| ZIP |
24540-4028 |
| OFFICIAL VA NAME |
DANVILLE VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
DANVILLE VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1245283878
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
658GB |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 705 PINEY FOREST ROAD
- CITY (CHANGED FROM): DANVILLE
- STATE (CHANGED FROM): VIRGINIA
- ZIP (CHANGED FROM): 24540-2860
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1245283878
-
- CODING SYSTEM: VASTANUM
- ID: 658GB
-
- CODING SYSTEM: CLIA
- ID: 49D0955002
|
