| NAME |
ZZ-SIXTEENTH ST VA CLINIC |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
620 NORTHWEST 16TH STREET |
| CITY |
GAINESVILLE |
| ZIP |
32601-4034 |
| OFFICIAL VA NAME |
SIXTEENTH STREET VA CLINIC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GAINESVILLE 1 VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2014-10-01 00:00:00
- STATUS: ACTIVE
- NPI: 1194123430
-
- 2024-06-12 00:00:00
- STATUS: INACTIVE
- NPI: 1194123430
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
573QA |
