| NAME |
CARSON VALLEY VA CLINIC |
| STATE |
NEVADA |
| STREET ADDR. 1 |
1330 WATERLOO LN |
| CITY |
GARDNERVILLE |
| ZIP |
89410-5587 |
| OFFICIAL VA NAME |
CARSON VALLEY VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GARDNERVILLE VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1740227644
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
654GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1740227644
-
- CODING SYSTEM: VASTANUM
- ID: 654GB
-
- CODING SYSTEM: CLIA
- ID: 29D1013519
|
