| NAME |
FORT BELVOIR VA CLINIC |
| STATE |
VIRGINIA |
| STREET ADDR. 1 |
9300 DEWITT LOOP, SUNRISE PAVILION |
| CITY |
FORT BELVOIR |
| ZIP |
22060-5285 |
| OFFICIAL VA NAME |
FORT BELVOIR VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
FT. BELVOIR VA CLINIC |
| ST. ADDR. 1 (MAILING) |
9300 DEWITT LOOP, SUNRISE PAVILION |
| CITY (MAILING) |
FORT BELVOIR |
| STATE (MAILING) |
VIRGINIA |
| ZIP (MAILING) |
22060-5285 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1770533358
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
688GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1770533358
-
- CODING SYSTEM: VASTANUM
- ID: 688GA
-
- CODING SYSTEM: CLIA
- ID: 49D1050014
|
