| NAME |
LEXINGTON MOBILE MEDIC |
| STATE |
KENTUCKY |
| STREET ADDR. 1 |
1101 VETERANS DRIVE |
| CITY |
LEXINGTON |
| ZIP |
40502-2235 |
| OFFICIAL VA NAME |
LEXINGTON MOBILE OUTREACH CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LEXINGTON VA CBOC |
| ST. ADDR. 1 (MAILING) |
1101 VETERANS DRIVE |
| CITY (MAILING) |
LEXINGTON |
| STATE (MAILING) |
KENTUCKY |
| ZIP (MAILING) |
40502-2235 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1154365898
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
596HA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1154365898
-
- CODING SYSTEM: VASTANUM
- ID: 596HA
|
