| NAME |
RICHLAND VA CLINIC |
| STATE |
WASHINGTON |
| STREET ADDR. 1 |
825 JADWIN AVE, 2ND FLR, SUITE 250 |
| STREET ADDR. 2 |
FEDERAL BUILDING |
| CITY |
RICHLAND |
| ZIP |
99352-3589 |
| OFFICIAL VA NAME |
RICHLAND VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
RICHLAND VA CLINIC |
| ST. ADDR. 1 (MAILING) |
825 JADWIN AVE, 2ND FLR, SUITE 250 |
| ST. ADDR. 2 (MAILING) |
FEDERAL BUILDING |
| CITY (MAILING) |
RICHLAND |
| STATE (MAILING) |
WASHINGTON |
| ZIP (MAILING) |
99352-3589 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1659311009
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
687GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1659311009
-
- CODING SYSTEM: VASTANUM
- ID: 687GA
-
- CODING SYSTEM: CLIA
- ID: 50D1016949
|
