| NAME |
WINCHESTER VA CLINIC |
| STATE |
VIRGINIA |
| STREET ADDR. 1 |
100 DAWSON DR |
| CITY |
WINCHESTER |
| ZIP |
22602-5307 |
| OFFICIAL VA NAME |
WINCHESTER VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WINCHESTER VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1003856527
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
613GC |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 170 PROSPERITY DRIVE
- CITY (CHANGED FROM): WINCHESTER
- STATE (CHANGED FROM): VIRGINIA
- ZIP (CHANGED FROM): 22602-5356
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1003856527
-
- CODING SYSTEM: VASTANUM
- ID: 613GC
-
- CODING SYSTEM: CLIA
- ID: 49D0988547
|
