| NAME |
NORTHAMPTON COUNTY CLINIC |
| STATE |
PENNSYLVANIA |
| STREET ADDR. 1 |
701 SLATE BELT BLVD |
| CITY |
BANGOR |
| ZIP |
18013-9341 |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
BANGOR VA CBOC |
| ST. ADDR. 1 (MAILING) |
701 SLATE BELT BLVD |
| CITY (MAILING) |
BANGOR |
| STATE (MAILING) |
PENNSYLVANIA |
| ZIP (MAILING) |
18013-9341 |
| EFFECTIVE DATE/TIME |
-
- 2007-10-04 00:00:00
- STATUS: ACTIVE
- NPI: 1366639973
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| STATION NUMBER |
693GG |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 693GG
-
- CODING SYSTEM: CLIA
- ID: 39D1038004
|
