| NAME |
WASHINGTON, PA CBOC |
| STATE |
PENNSYLVANIA |
| STREET ADDR. 1 |
95 WEST BEAU STREET, SUITE 200 |
| CITY |
WASHINGTON |
| ZIP |
15301-6800 |
| OFFICIAL VA NAME |
WASHINGTON VA PRIMARY CARE OUTPATIENT CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WASHINGTON VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1518907328
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
646GD |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1518907328
-
- CODING SYSTEM: VASTANUM
- ID: 646GD
-
- CODING SYSTEM: CLIA
- ID: 39D1091327
|
