N. FLORIDA/S. GEORGIA HCS (242)    INSTITUTION (4)

Name Value
NAME N. FLORIDA/S. GEORGIA HCS
STATE FLORIDA
STREET ADDR. 1 1601 S.W. ARCHER ROAD
CITY GAINESVILLE
ZIP 32608-1135
OFFICIAL VA NAME MALCOM RANDALL DEPT OF VAMC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GAINESVILLE VAMC
ST. ADDR. 1 (MAILING) 1601 S.W. ARCHER ROAD
CITY (MAILING) GAINESVILLE
STATE (MAILING) FLORIDA
ZIP (MAILING) 32608-1135
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1063462000
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 573
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1063462000
  • CODING SYSTEM:   VASTANUM
    ID:   573
  • CODING SYSTEM:   CLIA
    ID:   10D0987718