| NAME |
NEWARK CBOC |
| STATE |
OHIO |
| STREET ADDR. 1 |
1855 W MAIN STREET |
| CITY |
NEWARK |
| ZIP |
43055-1135 |
| OFFICIAL VA NAME |
NEWARK CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
NEWARK VA CLINIC |
| ST. ADDR. 1 (MAILING) |
1912 TAMARACK ROAD |
| CITY (MAILING) |
NEWARK |
| STATE (MAILING) |
OHIO |
| ZIP (MAILING) |
43055-1135 |
| EFFECTIVE DATE/TIME |
-
- 2007-03-26 00:00:00
- STATUS: ACTIVE
- NPI: 1720139371
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| STATION NUMBER |
757GD |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 757GD
-
- CODING SYSTEM: CLIA
- ID: 36D1039245
|
