| NAME |
VENANGO COUNTY VA CLINIC |
| STATE |
PENNSYLVANIA |
| STREET ADDR. 1 |
125 HOME DEPOT DR |
| CITY |
FRANKLIN |
| ZIP |
16323-8031 |
| OFFICIAL VA NAME |
VENANGO COUNTY VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
FRANKLIN VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-03-26 00:00:00
- STATUS: ACTIVE
- NPI: 1710037973
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
562GD |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 464 Allegheny Blvd
- CITY (CHANGED FROM): FRANKLIN
- STATE (CHANGED FROM): PENNSYLVANIA
- ZIP (CHANGED FROM): 16323-6259
|
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 562GD
-
- CODING SYSTEM: CLIA
- ID: 39D2038700
|
