EAST FRONT AVENUE VA CLINIC (4498)    INSTITUTION (4)

Name Value
NAME EAST FRONT AVENUE VA CLINIC
STATE WASHINGTON
STREET ADDR. 1 624 E FRONT AVE STE 201
CITY SPOKANE
ZIP 99202-2139
OFFICIAL VA NAME EAST FRONT AVENUE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SPOKANE 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2020-11-23 00:00:00
    STATUS:   ACTIVE
    NPI:   1083218739
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 668GC