| NAME |
SOUTHEAST WASHINGTON VA CLINIC |
| STATE |
DISTRICT OF COLUMBIA |
| STREET ADDR. 1 |
820 CHESAPEAKE ST. SE |
| CITY |
WASHINGTON |
| ZIP |
20032-3428 |
| OFFICIAL VA NAME |
SOUTHEAST WASHINGTON VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WASHINGTON VA CLINIC |
| ST. ADDR. 1 (MAILING) |
820 CHESAPEAKE ST. SE |
| CITY (MAILING) |
WASHINGTON |
| STATE (MAILING) |
DISTRICT OF COLUMBIA |
| ZIP (MAILING) |
20032-3428 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1386682805
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
688GB |
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 09D1050142
|
