| NAME |
WARREN COUNTY CLINIC |
| STATE |
PENNSYLVANIA |
| STREET ADDR. 1 |
FARM COLONY PROF BLDG, 3 FARM COLONY DR |
| CITY |
NORTH WARREN |
| ZIP |
16365-5209 |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
NORTH WARREN VA CBOC |
| ST. ADDR. 1 (MAILING) |
FARM COLONY PROF BLDG, 3 FARM COLONY DR |
| CITY (MAILING) |
NORTH WARREN |
| STATE (MAILING) |
PENNSYLVANIA |
| ZIP (MAILING) |
16365-5209 |
| EFFECTIVE DATE/TIME |
-
- 2007-09-18 00:00:00
- STATUS: ACTIVE
- NPI: 1235275751
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| STATION NUMBER |
562GE |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 562GE
-
- CODING SYSTEM: CLIA
- ID: 39D2038702
|
