| NAME |
MOUNT VERNON VA CLINIC |
| STATE |
WASHINGTON |
| STREET ADDR. 1 |
307 SOUTH 13TH STREET |
| CITY |
MOUNT VERNON |
| ZIP |
98274-4100 |
| OFFICIAL VA NAME |
MOUNT VERNON VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MOUNT VERNON VA CLINIC |
| ST. ADDR. 1 (MAILING) |
307 SOUTH 13TH STREET |
| CITY (MAILING) |
MOUNT VERNON |
| STATE (MAILING) |
WASHINGTON |
| ZIP (MAILING) |
98274-4100 |
| EFFECTIVE DATE/TIME |
-
- 2008-02-13 00:00:00
- STATUS: ACTIVE
- NPI: 1689847345
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
663GC |
