CHILLICOTHE VA MOBILE CLINIC (3524)    INSTITUTION (4)

Name Value
NAME CHILLICOTHE VA MOBILE CLINIC
STATE OHIO
STREET ADDR. 1 17273 SR 104
CITY CHILLICOTHE
ZIP 45601-9718
OFFICIAL VA NAME CHILLICOTHE VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CHILLICOTHE VA MOBILE OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1063800332
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 538QA