ZZ-COVINGTON OUTREACH CLINIC (1734)    INSTITUTION (4)

Name Value
NAME ZZ-COVINGTON OUTREACH CLINIC
STATE VIRGINIA
STREET ADDR. 1 710 E DOLLY ANN DR
CITY COVINGTON
ZIP 24426-2193
OFFICIAL VA NAME COVINGTON OUTREACH CLINIC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME COVINGTON VA CBOC
ST. ADDR. 1 (MAILING) 1970 ROANOKE BLVD
CITY (MAILING) SALEM
STATE (MAILING) VIRGINIA
ZIP (MAILING) 24153-6404
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 658HG
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1447202544
  • CODING SYSTEM:   VASTANUM
    ID:   658HG