| NAME |
CAPE MAY (WILMINGTON) |
| STATE |
NEW JERSEY |
| STREET ADDR. 1 |
3801 ROUTE 9 S STE 2 |
| CITY |
RIO GRANDE |
| ZIP |
08242-1915 |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
RIO GRANDE VA CLINIC |
| ST. ADDR. 1 (MAILING) |
1 MUNRO AVENUE USCG TRAINING CENTER DISP |
| CITY (MAILING) |
CAPE MAY |
| STATE (MAILING) |
NEW JERSEY |
| ZIP (MAILING) |
08204-5000 |
| EFFECTIVE DATE/TIME |
-
- 2007-03-26 00:00:00
- STATUS: ACTIVE
- NPI: 1720131287
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
460GD |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 460GD
-
- CODING SYSTEM: CLIA
- ID: 31D1041269
|
