ZZKLAMATH FALLS VA MOB CLINIC (4088)    INSTITUTION (4)

Name Value
NAME ZZKLAMATH FALLS VA MOB CLINIC
STATE OREGON
STREET ADDR. 1 2225 NORTH ELDORADO BOULEVARD
CITY KLAMATH FALLS
ZIP 97601-6417
OFFICIAL VA NAME KLAMATH FALLS VA MOBILE CLINIC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME KLAMATH FALLS VA MOBILE OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1598156564
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
STATION NUMBER 692QA