| NAME |
REDDING VA CLINIC |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
3455 KNIGHTON RD |
| CITY |
REDDING |
| ZIP |
96002-9498 |
| OFFICIAL VA NAME |
REDDING VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
REDDING VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1730127762
-
- 2021-12-14 00:00:00
- STATUS: ACTIVE
- NPI: 1730127762
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
612B4 |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1730127762
-
- CODING SYSTEM: VASTANUM
- ID: 612B4
-
- CODING SYSTEM: CLIA
- ID: 05D0988245
|
