LOCH RAVEN VAMC (1151)    INSTITUTION (4)

Name Value
NAME LOCH RAVEN VAMC
STATE MARYLAND
STREET ADDR. 1 3901 THE ALAMEDA
CITY BALTIMORE
ZIP 21218-2100
OFFICIAL VA NAME LOCH RAVEN VAMC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LOCH RAVEN VAMC
ST. ADDR. 1 (MAILING) 3901 THE ALAMEDA
CITY (MAILING) BALTIMORE
STATE (MAILING) MARYLAND
ZIP (MAILING) 21218-2100
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1447206560
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 512GD
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1447206560
  • CODING SYSTEM:   VASTANUM
    ID:   512GD
  • CODING SYSTEM:   CLIA
    ID:   21D1018495