| NAME |
GRAYLING VA CLINIC |
| STATE |
MICHIGAN |
| STREET ADDR. 1 |
1680 HARTWICK PINES ROAD |
| CITY |
GRAYLING |
| ZIP |
49738-9237 |
| OFFICIAL VA NAME |
GRAYLING VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GRAYLING VA CBOC |
| ST. ADDR. 1 (MAILING) |
1500 WEISS STREET |
| CITY (MAILING) |
SAGINAW |
| STATE (MAILING) |
MICHIGAN |
| ZIP (MAILING) |
48602-5251 |
| EFFECTIVE DATE/TIME |
-
- 2012-08-24 00:00:00
- STATUS: ACTIVE
- NPI: 1780931733
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
655GI |
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 23D2047074
|
