SAVANNAH OPC-CHARLESTON (809)    INSTITUTION (4)

Name Value
NAME SAVANNAH OPC-CHARLESTON
STATE GEORGIA
STREET ADDR. 1 1170 SHAWNEE STREET
CITY SAVANNAH
ZIP 31419-1618
OFFICIAL VA NAME SAVANNAH PRIMARY CARE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SAVANNAH VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1851339451
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 534BY
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1851339451
  • CODING SYSTEM:   VASTANUM
    ID:   534BY
  • CODING SYSTEM:   CLIA
    ID:   11D1039076