| NAME |
DAVID J. THATCHER VA CLINIC |
| STATE |
MONTANA |
| STREET ADDR. 1 |
3885 WEST BROADWAY STREET |
| CITY |
MISSOULA |
| ZIP |
59808-9998 |
| OFFICIAL VA NAME |
DAVID J. THATCHER VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MISSOULA VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1245277391
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
436GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1245277391
-
- CODING SYSTEM: VASTANUM
- ID: 436GC
-
- CODING SYSTEM: CLIA
- ID: 27D1002255
|
