| NAME |
BEAVER COUNTY VA CLINIC |
| STATE |
PENNSYLVANIA |
| STREET ADDR. 1 |
300 BRIGHTON AVENUE SUITE 110 |
| CITY |
ROCHESTER |
| ZIP |
15074-2166 |
| OFFICIAL VA NAME |
BEAVER COUNTY VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ROCHESTER VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1275584757
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
646GC |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1275584757
-
- CODING SYSTEM: VASTANUM
- ID: 646GC
-
- CODING SYSTEM: CLIA
- ID: 39D1089225
|
