MOBILE OPC (1184)    INSTITUTION (4)

Name Value
NAME MOBILE OPC
STATE ALABAMA
STREET ADDR. 1 4444 DEMETROPOLIS ROAD
CITY MOBILE
ZIP 36619-9602
OFFICIAL VA NAME MOBILE OPC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MOBILE VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1003857764
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 520GA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1003857764
  • CODING SYSTEM:   VASTANUM
    ID:   520GA
  • CODING SYSTEM:   CLIA
    ID:   01D0987271