| NAME |
NEWPORT VA CLINIC |
| STATE |
OREGON |
| STREET ADDR. 1 |
36 SW NYE ST |
| CITY |
NEWPORT |
| ZIP |
97365-3821 |
| OFFICIAL VA NAME |
NEWPORT VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
NEWPORT VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2014-10-01 00:00:00
- STATUS: ACTIVE
- NPI: 1497162556
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
648GH |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 1010 SOUTHWEST COAST HIGHWAY
- CITY (CHANGED FROM): NEWPORT
- STATE (CHANGED FROM): OREGON
- ZIP (CHANGED FROM): 97365-5215
|
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 47D2064743
|
