NORMAN VA CLINIC (4472)    INSTITUTION (4)

Name Value
NAME NORMAN VA CLINIC
STATE OKLAHOMA
STREET ADDR. 1 1020 24TH AVE NW
CITY NORMAN
ZIP 73069-6341
OFFICIAL VA NAME NORMAN VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME NORMAN VA CLINIC
EFFECTIVE DATE/TIME
  • 2020-08-30 00:00:00
    STATUS:   ACTIVE
    NPI:   1568076313
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 635GI
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   37D2202251