| NAME |
ST. JAMES VA CLINIC |
| STATE |
MISSOURI |
| STREET ADDR. 1 |
207 MATLOCK DRIVE |
| CITY |
ST JAMES |
| ZIP |
65559-9998 |
| OFFICIAL VA NAME |
ST. JAMES VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ST. JAMES VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1457394033
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
589GY |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1457394033
-
- CODING SYSTEM: VASTANUM
- ID: 589GY
-
- CODING SYSTEM: CLIA
- ID: 26D1028151
|
