| NAME |
WORCESTER VA CLINIC (631GE) |
| STATE |
MASSACHUSETTS |
| STREET ADDR. 1 |
403 BELMONT ST STE 1 |
| CITY |
WORCESTER |
| ZIP |
01604-1020 |
| OFFICIAL VA NAME |
WORCESTER VA CLINIC (631GE) |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WORCESTER VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2011-10-01 00:00:00
- STATUS: ACTIVE
- NPI: 1669766564
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
631GE |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 403 BELMONT ST # 1
- CITY (CHANGED FROM): WORCESTER
- STATE (CHANGED FROM): MASSACHUSETTS
- ZIP (CHANGED FROM): 01604-1003
|
