| NAME |
HOPKINSVILLE VA CLINIC |
| STATE |
KENTUCKY |
| STREET ADDR. 1 |
4000 FORT CAMPBELL BLVD STE G4 |
| CITY |
HOPKINSVILLE |
| ZIP |
42240-4967 |
| OFFICIAL VA NAME |
HOPKINSVILLE VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
HOPKINSVILLE VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2009-06-01 00:00:00
- STATUS: ACTIVE
- NPI: 1972739936
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
626GJ |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 1102 S. VIRGINIA ST, 2ND FLOOR
- CITY (CHANGED FROM): HOPKINSVILLE
- STATE (CHANGED FROM): KENTUCKY
- ZIP (CHANGED FROM): 42240-3579
|
