| NAME |
EGLIN AIR FORCE BASE VA CLINIC |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
100 VETERANS WAY |
| CITY |
EGLIN AFB |
| ZIP |
32542-1038 |
| OFFICIAL VA NAME |
EGLIN AIR FORCE BASE VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
EGLIN VA CBOC |
| ST. ADDR. 1 (MAILING) |
100 VETERANS WAY |
| CITY (MAILING) |
EGLIN AFB |
| STATE (MAILING) |
FLORIDA |
| ZIP (MAILING) |
32542-1038 |
| EFFECTIVE DATE/TIME |
-
- 2008-04-28 00:00:00
- STATUS: ACTIVE
- NPI: 1760657084
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
520GC |
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 10D1081231
|
