FORT SCOTT VA CLINIC (2059)    INSTITUTION (4)

Name Value
NAME FORT SCOTT VA CLINIC
STATE KANSAS
STREET ADDR. 1 902 HORTON STREET
CITY FORT SCOTT
ZIP 66701-2438
OFFICIAL VA NAME FORT SCOTT VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME FORT SCOTT VA CLINIC
ST. ADDR. 1 (MAILING) 902 HORTON STREET
CITY (MAILING) FORT SCOTT
STATE (MAILING) KANSAS
ZIP (MAILING) 66701-2438
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1023061918
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 589GV
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1023061918
  • CODING SYSTEM:   VASTANUM
    ID:   589GV