| NAME |
GLOUCESTER VA CLINIC |
| STATE |
MASSACHUSETTS |
| STREET ADDR. 1 |
199 MAIN STREET |
| CITY |
GLOUCESTER |
| ZIP |
01930-6029 |
| OFFICIAL VA NAME |
GLOUCESTER VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
BINGHAMTON VA CLINIC |
| ST. ADDR. 1 (MAILING) |
199 MAIN STREET |
| CITY (MAILING) |
GLOUCESTER |
| STATE (MAILING) |
MASSACHUSETTS |
| ZIP (MAILING) |
01930-6029 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1932153368
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
518GE |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1932153368
-
- CODING SYSTEM: VASTANUM
- ID: 518GE
|
