| NAME |
GUNTERSVILLE CBOC |
| STATE |
ALABAMA |
| STREET ADDR. 1 |
100 JUDY SMITH DRIVE |
| CITY |
GUNTERSVILLE |
| ZIP |
35976-4500 |
| OFFICIAL VA NAME |
GUNTERSVILLE CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GUNTERSVILLE VA CLINIC |
| ST. ADDR. 1 (MAILING) |
100 JUDY SMITH DRIVE |
| CITY (MAILING) |
GUNTERSVILLE |
| STATE (MAILING) |
ALABAMA |
| ZIP (MAILING) |
35976-4500 |
| EFFECTIVE DATE/TIME |
-
- 2010-05-24 00:00:00
- STATUS: ACTIVE
- NPI: 1992024947
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| STATION NUMBER |
521GI |
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 01D2008506
|
