| NAME |
EMPORIA VA CLINIC |
| STATE |
VIRGINIA |
| STREET ADDR. 1 |
1746 EAST ATLANTIC ST |
| CITY |
EMPORIA |
| ZIP |
23847-6584 |
| OFFICIAL VA NAME |
EMPORIA VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
EMPORIA VA CBOC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1730134297
-
- 2010-08-31 00:00:00
- STATUS: ACTIVE
- NPI: 1598072902
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
652GF |
| HISTORY |
-
- EFFECTIVE DATE: 2001-05-21 00:00:00
- REALIGNED FROM: ZZ EMPORIA CBOC
-
- STREET ADDR. 1 (CHANGED FROM): 1746 EAST ATLANTIC ST
- CITY (CHANGED FROM): EMPORIA
- STATE (CHANGED FROM): VIRGINIA
- ZIP (CHANGED FROM): 23847-6584
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1730134297
-
- CODING SYSTEM: VASTANUM
- ID: 589GN
|
