| NAME |
ENID CBOC |
| STATE |
OKLAHOMA |
| STREET ADDR. 1 |
915 E OWEN K GARRIOTT RD |
| CITY |
ENID |
| ZIP |
73701-6156 |
| OFFICIAL VA NAME |
ENID CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ENID VA CLINIC |
| ST. ADDR. 1 (MAILING) |
915 E GARRIOTT RD, SUITE G |
| CITY (MAILING) |
OKLAHOMA CITY |
| STATE (MAILING) |
OKLAHOMA |
| ZIP (MAILING) |
73701-6156 |
| EFFECTIVE DATE/TIME |
-
- 2009-08-31 00:00:00
- STATUS: ACTIVE
- NPI: 1710117072
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
635GG |
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 37D2244376
|
