| NAME |
OREM VA CLINIC |
| STATE |
UTAH |
| STREET ADDR. 1 |
774 S STATE ST |
| CITY |
OREM |
| ZIP |
84058-6308 |
| OFFICIAL VA NAME |
OREM VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
OREM VA CLINIC |
| ST. ADDR. 1 (MAILING) |
1443 WEST 800 NORTH, SUITE 302 |
| CITY (MAILING) |
OREM |
| STATE (MAILING) |
UTAH |
| ZIP (MAILING) |
84057-2883 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1093753675
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
660GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1093753675
-
- CODING SYSTEM: VASTANUM
- ID: 660GE
-
- CODING SYSTEM: CLIA
- ID: 46D1013968
|
