| NAME |
SPRINGVILLE OUTPATIENT CLINIC |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
231 SOUTH CASCADE DRIVE, SUITE 107 |
| CITY |
SPRINGVILLE |
| ZIP |
14141 |
| OFFICIAL VA NAME |
SPRINGVILLE OUTPATIENT CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
SPRINGVILLE OUTPATIENT CLINIC |
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| STATION NUMBER |
528GQ01 |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 15 COMMERCE DRIVE
- CITY (CHANGED FROM): SPRINGVILLE
- STATE (CHANGED FROM): NEW YORK
- ZIP (CHANGED FROM): 14141
|
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 33D2191331
|