CAMBRIDGE VA CLINIC (538GE) (2483)    INSTITUTION (4)

Name Value
NAME CAMBRIDGE VA CLINIC (538GE)
STATE OHIO
STREET ADDR. 1 2146 SOUTHGATE PARKWAY
CITY CAMBRIDGE
ZIP 43725-3096
OFFICIAL VA NAME CAMBRIDGE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CAMBRIDGE VA CBOC
ST. ADDR. 1 (MAILING) 2146 SOUTHGATE PARKWAY
CITY (MAILING) CAMBRIDGE
STATE (MAILING) OHIO
ZIP (MAILING) 43725-3096
EFFECTIVE DATE/TIME
  • 2007-03-15 00:00:00
    STATUS:   ACTIVE
    NPI:   1245387356
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 538GE
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   538GE
  • CODING SYSTEM:   CLIA
    ID:   36D1024325