OAKHURST VA CLINIC (3622)    INSTITUTION (4)

Name Value
NAME OAKHURST VA CLINIC
STATE CALIFORNIA
STREET ADDR. 1 40597 WESTLAKE DRIVE
CITY OAKHURST
ZIP 93644-9024
OFFICIAL VA NAME OAKHURST VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME OAKHURST VA CBOC
ST. ADDR. 1 (MAILING) 2615 E CLINTON AVE
CITY (MAILING) FRESNO
STATE (MAILING) CALIFORNIA
ZIP (MAILING) 93703-2223
EFFECTIVE DATE/TIME
  • 2010-12-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1235431552
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
STATION NUMBER 570GC
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   05D2023156