| NAME |
ST. ALBANS HHS |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
17900 LINDEN BLVD |
| CITY |
JAMAICA |
| ZIP |
11434-1468 |
| OFFICIAL VA NAME |
ST ALBANS EXTENDED CARE CNTR |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
JAMAICA VAMC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1457395139
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
630A5 |
| HISTORY |
-
- EFFECTIVE DATE: 1999-10-01 00:00:00
- REALIGNED FROM: ZZ ST. ALBANS VAMC
-
- STREET ADDR. 1 (CHANGED FROM): 179-00 LINDEN BLVD
- CITY (CHANGED FROM): JAMAICA
- STATE (CHANGED FROM): NEW YORK
- ZIP (CHANGED FROM): 11434-1468
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1457395139
-
- CODING SYSTEM: VASTANUM
- ID: 630A5
-
- CODING SYSTEM: CLIA
- ID: 33D1015627
|
