VA NWIHS, GRAND ISLAND DIV (1638)    INSTITUTION (4)

Name Value
NAME VA NWIHS, GRAND ISLAND DIV
STATE NEBRASKA
STREET ADDR. 1 2201 NORTH BROADWELL
CITY GRAND ISLAND
ZIP 68803-2153
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GRAND ISLAND VAMC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1518912278
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 636A4
HISTORY
  • EFFECTIVE DATE:   2000-04-01 00:00:00
    REALIGNED FROM:   ZZ GRAND ISLAND
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1518912278
  • CODING SYSTEM:   VASTANUM
    ID:   636A4
  • CODING SYSTEM:   CLIA
    ID:   28D0988140