| NAME |
SGT E.I. BOOTS THOMAS VA CLIN |
| STATE |
FLORIDA |
| STREET ADDR. 1 |
2181 ORANGE AVE E |
| CITY |
TALLAHASSEE |
| ZIP |
32311-6144 |
| OFFICIAL VA NAME |
SGT E.I. BOOTS THOMAS VA CLIN |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
TALLAHASSEE VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1902830508
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
573GF |
| HISTORY |
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1902830508
-
- CODING SYSTEM: VASTANUM
- ID: 573GF
-
- CODING SYSTEM: CLIA
- ID: 10D0987723
|
