| NAME |
FAIRFIELD VA CLINIC |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
103 BODIN CIR |
| CITY |
TRAVIS AFB |
| ZIP |
94535-1801 |
| OFFICIAL VA NAME |
FAIRFIELD VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
FAIRFIELD VA CBOC |
| ST. ADDR. 1 (MAILING) |
103 BODIN CIR |
| CITY (MAILING) |
TRAVIS AFB |
| STATE (MAILING) |
CALIFORNIA |
| ZIP (MAILING) |
94535-1801 |
| EFFECTIVE DATE/TIME |
-
- 2007-03-26 00:00:00
- STATUS: ACTIVE
- NPI: 1679513089
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
612GD |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 612GD
-
- CODING SYSTEM: CLIA
- ID: 05D0988248
|
