| NAME |
MUNCIE VA CLINIC |
| STATE |
INDIANA |
| STREET ADDR. 1 |
3401 NORTH MORRISON ROAD |
| CITY |
MUNCIE |
| ZIP |
47304-5568 |
| OFFICIAL VA NAME |
MUNCIE VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
MUNCIE VA CLINIC |
| ST. ADDR. 1 (MAILING) |
2600 W WHITE RIVER BLVD |
| CITY (MAILING) |
MUNCIE |
| STATE (MAILING) |
INDIANA |
| ZIP (MAILING) |
47303-5263 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1649217027
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
610GB |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1649217027
-
- CODING SYSTEM: VASTANUM
- ID: 610GB
|
