ALEXANDRIA VA MEDICAL CENTER (151)    INSTITUTION (4)

Name Value
NAME ALEXANDRIA VA MEDICAL CENTER
STATE LOUISIANA
STREET ADDR. 1 2495 SHREVEPORT HWY 71 NORTH
CITY PINEVILLE
ZIP 71360-4044
OFFICIAL VA NAME ALEXANDRIA VA MEDICAL CENTER
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ALEXANDRIA VAMC
ST. ADDR. 1 (MAILING) 2495 SHREVEPORT HWY 71 NORTH
CITY (MAILING) PINEVILLE
STATE (MAILING) LOUISIANA
ZIP (MAILING) 71360-4044
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1992754055
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 502
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1992754055
  • CODING SYSTEM:   VASTANUM
    ID:   502
  • CODING SYSTEM:   CLIA
    ID:   19D0987266