JAMESTOWN VA CLINIC (3377)    INSTITUTION (4)

Name Value
NAME JAMESTOWN VA CLINIC
STATE NORTH DAKOTA
STREET ADDR. 1 2430 20TH STREET SOUTHWEST, #8
CITY JAMESTOWN
ZIP 58401-6201
OFFICIAL VA NAME JAMESTOWN VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME JAMESTOWN VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1225445463
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
STATION NUMBER 437GK
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   35D1083840