NORTH OKLAHOMA CITY VA CLINIC (4619)    INSTITUTION (4)

Name Value
NAME NORTH OKLAHOMA CITY VA CLINIC
STATE OKLAHOMA
STREET ADDR. 1 14400 BOGERT PKWY STE 100
CITY OKLAHOMA CITY
ZIP 73134-2653
OFFICIAL VA NAME NORTH OKLAHOMA CITY VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME OKLAHOMA CITY 2 VA CLINIC
EFFECTIVE DATE/TIME
  • 2022-07-29 00:00:00
    STATUS:   ACTIVE
    NPI:   1831825314
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 635GL
HISTORY
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   37D2263925