HOLBROOK VA CLINIC (3901)    INSTITUTION (4)

Name Value
NAME HOLBROOK VA CLINIC
STATE ARIZONA
STREET ADDR. 1 33 WEST VISTA DRIVE
CITY HOLBROOK
ZIP 86025-1844
OFFICIAL VA NAME HOLBROOK VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME HOLBROOK VA OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1558759837
TAXONOMY CODE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
TIMEZONE EXCEPTION SST Only
STATION NUMBER 649QB