| NAME |
OLEAN VA CLINIC |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
465 N UNION ST |
| CITY |
OLEAN |
| ZIP |
14760-2658 |
| OFFICIAL VA NAME |
OLEAN VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
OLEAN VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1821035270
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
528GR |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 465 NORTH UNTION STREET
- CITY (CHANGED FROM): OLEAN
- STATE (CHANGED FROM): NEW YORK
- ZIP (CHANGED FROM): 14760-1921
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1821035270
-
- CODING SYSTEM: VASTANUM
- ID: 528GR
-
- CODING SYSTEM: CLIA
- ID: 33D2032439
|
