| NAME |
MUSKEGON VA CLINIC |
| STATE |
MICHIGAN |
| STREET ADDR. 1 |
2734 E APPLE AVE |
| CITY |
MUSKEGON |
| ZIP |
49442-9998 |
| OFFICIAL VA NAME |
MUSKEGON VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MUSKEGON VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1649218058
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
515GA |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 5000 HAKES DRIVE
- CITY (CHANGED FROM): MUSKEGON
- STATE (CHANGED FROM): MICHIGAN
- ZIP (CHANGED FROM): 49441-5574
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1649218058
-
- CODING SYSTEM: VASTANUM
- ID: 515GA
|
