| 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
|