| NAME |
GROVE CITY VA CLINIC (757GB) |
| STATE |
OHIO |
| STREET ADDR. 1 |
5775 NORTH MEADOWS DRIVE |
| CITY |
GROVE CITY |
| ZIP |
43123-7301 |
| OFFICIAL VA NAME |
GROVE CITY CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GROVE CITY VA CLINIC |
| ST. ADDR. 1 (MAILING) |
5775 NORTH MEADOWS DRIVE |
| CITY (MAILING) |
GROVE CITY |
| STATE (MAILING) |
OHIO |
| ZIP (MAILING) |
43123-7301 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1306891304
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
757GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1306891304
-
- CODING SYSTEM: VASTANUM
- ID: 757GB
-
- CODING SYSTEM: CLIA
- ID: 33D1039264
|
