LYNN VA CLINIC (1170)    INSTITUTION (4)

Name Value
NAME LYNN VA CLINIC
STATE MASSACHUSETTS
STREET ADDR. 1 225 BOSTON STREET
CITY LYNN
ZIP 01904-3135
OFFICIAL VA NAME LYNN VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LYNN VA CBOC
ST. ADDR. 1 (MAILING) 225 BOSTON STREET
CITY (MAILING) LYNN
STATE (MAILING) MASSACHUSETTS
ZIP (MAILING) 01905-3137
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1073550588
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 518GA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1073550588
  • CODING SYSTEM:   VASTANUM
    ID:   518GA