NORTH CENTRAL FED VA CLINIC (2525)    INSTITUTION (4)

Name Value
NAME NORTH CENTRAL FED VA CLINIC
STATE TEXAS
STREET ADDR. 1 17440 HENDERSON PASS
CITY SAN ANTONIO
ZIP 78232-1662
OFFICIAL VA NAME NORTH CENTRAL FED VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME NORTH CENTRAL FEDERAL VA CBOC
ST. ADDR. 1 (MAILING) 17440 HENDERSON PASS
CITY (MAILING) SAN ANTONIO
STATE (MAILING) TEXAS
ZIP (MAILING) 78232-1662
EFFECTIVE DATE/TIME
  • 2007-10-29 00:00:00
    STATUS:   ACTIVE
    NPI:   1801083142
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 671GO
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   671GO