| NAME |
PASCO OPC |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
9912 LITTLE ROAD |
| CITY |
NEW PORT RICHEY |
| ZIP |
34654-3419 |
| OFFICIAL VA NAME |
PORT RICHEY OUTPATIENT CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
PORT RICHEY VA CBOC |
| ST. ADDR. 1 (MAILING) |
9912 LITTLE ROAD |
| CITY (MAILING) |
NEW PORT RICHEY |
| STATE (MAILING) |
FLORIDA |
| ZIP (MAILING) |
34654-3419 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1669419149
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
673BZ |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1669419149
-
- CODING SYSTEM: VASTANUM
- ID: 673BZ
-
- CODING SYSTEM: CLIA
- ID: 10D0987728
|
