TEMPLE TERRACE VA CLINIC (4652)    INSTITUTION (4)

Name Value
NAME TEMPLE TERRACE VA CLINIC
STATE FLORIDA
STREET ADDR. 1 8451 TEMPLE TERRACE HWY
CITY TEMPLE TERRACE
ZIP 33637-5853
OFFICIAL VA NAME TEMPLE TERRACE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME TEMPLE TERRACE VA CLINIC
EFFECTIVE DATE/TIME
  • 2023-12-20 00:00:00
    STATUS:   ACTIVE
    NPI:   1952170706
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 673QM
HISTORY
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   10D1103170