| NAME |
BROCKTON VAMC |
| STATE |
MASSACHUSETTS |
| STREET ADDR. 1 |
940 BELMONT STREET |
| CITY |
BROCKTON |
| ZIP |
02301-5596 |
| OFFICIAL VA NAME |
VA BOSTON HEALTHCARE SYSTEM - BROCKTON DIVISION |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
BROCKTON VAMC |
| ST. ADDR. 1 (MAILING) |
940 BELMONT STREET |
| CITY (MAILING) |
BROCKTON |
| STATE (MAILING) |
MASSACHUSETTS |
| ZIP (MAILING) |
02301-5596 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1306894613
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
523A5 |
| HISTORY |
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1306894613
-
- CODING SYSTEM: VASTANUM
- ID: 523A5
-
- CODING SYSTEM: CLIA
- ID: 22D0989791
|
