GAINESVILLE 98TH ST VA CLINIC (3635)    INSTITUTION (4)

Name Value
NAME GAINESVILLE 98TH ST VA CLINIC
STATE FLORIDA
STREET ADDR. 1 3401 NORTHWEST 98TH STREET
CITY GAINESVILLE
ZIP 32606-5207
OFFICIAL VA NAME GAINESVILLE 98TH ST VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GAINESVILLE 2 VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1003214347
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 573QB