OCALA WEST VA CLINIC (3641)    INSTITUTION (4)

Name Value
NAME OCALA WEST VA CLINIC
STATE FLORIDA
STREET ADDR. 1 3307 SOUTHWEST 26TH AVE
CITY OCALA
ZIP 34471-7843
OFFICIAL VA NAME OCALA WEST VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME OCALA WEST VA OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1992103238
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 573QH