| NAME |
ZZ-STUARTS DRAFT |
| STATE |
VIRGINIA |
| STREET ADDR. 1 |
3251 STUARTS DRAFT HIGHWAY |
| STREET ADDR. 2 |
VFW POST # 9339 |
| CITY |
STUARTS DRAFT |
| ZIP |
24477-2785 |
| OFFICIAL VA NAME |
STUARTS DRAFT OUTREACH CLINIC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
STUARTS DRAFT VA CBOC |
| ST. ADDR. 1 (MAILING) |
3251 STUARTS DRAFT HIGHWAY |
| CITY (MAILING) |
STUARTS DRAFT |
| STATE (MAILING) |
VIRGINIA |
| ZIP (MAILING) |
24477-2785 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1316981319
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
658HA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1316981319
-
- CODING SYSTEM: VASTANUM
- ID: 658HA
|
