SPRINGVILLE OUTPATIENT CLINIC (3486)    INSTITUTION (4)

Name Value
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