SOUTH HILLSBOROUGH VA CLINIC (4502)    INSTITUTION (4)

Name Value
NAME SOUTH HILLSBOROUGH VA CLINIC
STATE FLORIDA
STREET ADDR. 1 12920 SUMMERFIELD CROSSING BLVD.
CITY RIVERVIEW
ZIP 33579-7210
OFFICIAL VA NAME SOUTH HILLSBOROUGH VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME RIVERVIEW VA CLINIC
EFFECTIVE DATE/TIME
  • 2019-05-15 00:00:00
    STATUS:   ACTIVE
    NPI:   1851955405
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 673GG