Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access |
282NC0060X | A0[7] | Critical Access Hospital |
| NPI Number | 1982821971 |
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| LBN Legal business name | CARL VISON VA MEDICAL CENTER | ||||
| Authorized official | VENOID IRVIN - (ICU STAFF NURSE) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/19/2007 | ||||
| Last updated | 08/22/2020 - About 6 years ago | ||||
| Identifiers |
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CARL VISON VA MEDICAL CENTER
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