BLOOMSBURG VA CLINIC (1944) INSTITUTION (4)

Name	Value
NAME	BLOOMSBURG VA CLINIC
STATE	PENNSYLVANIA
STREET ADDR. 1	225 COLUMBIA MALL DR
CITY	BLOOMSBURG
ZIP	17815-8368
OFFICIAL VA NAME	COLUMBIA COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 4 PARENT FACILITY PARENT OF ASSOCIATION: WILKES-BARRE VAMC
BILLING FACILITY NAME	BLOOMSBURG VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1922059591
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	693GF
IDENTIFIER	CODING SYSTEM: NPI ID: 1922059591 CODING SYSTEM: VASTANUM ID: 693GF