LENORE VA CLINIC (3660)    INSTITUTION (4)

Name Value
NAME LENORE VA CLINIC
STATE WEST VIRGINIA
STREET ADDR. 1 15 LENORE BUSINESS MALL 2867 ROUTE 65
CITY WILLIAMSON
ZIP 25661-9199
OFFICIAL VA NAME LENORE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MINGO COUNTY VA CBOC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1861809816
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 581GH