HAZARD VA CLINIC (3721)    INSTITUTION (4)

Name Value
NAME HAZARD VA CLINIC
STATE KENTUCKY
STREET ADDR. 1 210 BLACK GOLD BLVD
CITY HAZARD
ZIP 41701-2603
OFFICIAL VA NAME HAZARD VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME HAZARD VA CBOC
ST. ADDR. 1 (MAILING) 210 BLACK GOLD BLVD
CITY (MAILING) HAZARD
STATE (MAILING) KENTUCKY
ZIP (MAILING) 41701-2603
EFFECTIVE DATE/TIME
  • 2008-06-23 00:00:00
    STATUS:   ACTIVE
    NPI:   1689836637
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 596GC