| NAME |
UKIAH VA CLINIC |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
630 KINGS COURT |
| CITY |
UKIAH |
| ZIP |
95482-5003 |
| OFFICIAL VA NAME |
UKIAH VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
UKIAH VA CBOC |
| ST. ADDR. 1 (MAILING) |
630 KINGS COURT |
| CITY (MAILING) |
UKIAH |
| STATE (MAILING) |
CALIFORNIA |
| ZIP (MAILING) |
95482-5003 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1508805409
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
662GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1508805409
-
- CODING SYSTEM: VASTANUM
- ID: 662GD
|
