| NAME |
ST. CROIX |
| STATE |
VIRGIN ISLANDS |
| STREET ADDR. 1 |
THE VILLAGE MALL,RR 2 BOX 10553 KINGSHIL |
| CITY |
ST CROIX |
| ZIP |
00850-4701 |
| OFFICIAL VA NAME |
ST.CROIX VETERANS CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ST. CROIX VA CBOC |
| ST. ADDR. 1 (MAILING) |
THE VILLAGE MALL,RR 2 BOX 10553 KINGSHIL |
| CITY (MAILING) |
ST. CROIX |
| STATE (MAILING) |
VIRGIN ISLANDS |
| ZIP (MAILING) |
00850-4701 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1184668329
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
ATLANTIC |
| COUNTRY |
USA |
| TIMEZONE EXCEPTION |
SST Only |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
672GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1184668329
-
- CODING SYSTEM: VASTANUM
- ID: 672GA
-
- CODING SYSTEM: CLIA
- ID: 48D1042173
|
