ALACHUA COUNTY VA CLINIC (3637)    INSTITUTION (4)

Name Value
NAME ALACHUA COUNTY VA CLINIC
STATE FLORIDA
STREET ADDR. 1 5533 SOUTHWEST 64TH ST
CITY GAINESVILLE
ZIP 32608-9608
OFFICIAL VA NAME GAINESVILLE 64TH ST 2 VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GAINESVILLE 4 VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1780072918
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 573QD