| NAME |
BEAUFORT |
| STATE |
SOUTH CAROLINA |
| STREET ADDR. 1 |
1 PINCKNEY BLVD |
| CITY |
BEAUFORT |
| ZIP |
29902-6122 |
| OFFICIAL VA NAME |
BEAUFORT PRIMARY CARE CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
BEAUFORT VA CLINIC |
| ST. ADDR. 1 (MAILING) |
1 PINCKNEY BLVD |
| CITY (MAILING) |
BEAUFORT |
| STATE (MAILING) |
SOUTH CAROLINA |
| ZIP (MAILING) |
29902-6122 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1194776807
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
534GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1194776807
-
- CODING SYSTEM: VASTANUM
- ID: 534GC
-
- CODING SYSTEM: CLIA
- ID: 42D1039077
|
