GREENWOOD VA CLINIC (1511)    INSTITUTION (4)

Name Value
NAME GREENWOOD VA CLINIC
STATE KENTUCKY
STREET ADDR. 1 7410 DIXIE HWY
CITY LOUISVILLE
ZIP 40258-1406
OFFICIAL VA NAME GREENWOOD VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LOUISVILLE 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1851347124
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 603GC
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1851347124
  • CODING SYSTEM:   VASTANUM
    ID:   603GC