OKEECHOBEE VA CLINIC (2081)    INSTITUTION (4)

Name Value
NAME OKEECHOBEE VA CLINIC
STATE FLORIDA
STREET ADDR. 1 1201 N PARROTT AVE
CITY OKEECHOBEE
ZIP 34972-1936
OFFICIAL VA NAME OKEECHOBEE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME OKEECHOBEE VA CBOC
ST. ADDR. 1 (MAILING) 1201 N PARROTT AVE
CITY (MAILING) OKEECHOBEE
STATE (MAILING) FLORIDA
ZIP (MAILING) 34972-1936
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1932146396
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 548GF
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1932146396
  • CODING SYSTEM:   VASTANUM
    ID:   548GF