MONTEREY VA CLINIC (1670)    INSTITUTION (4)

Name Value
NAME MONTEREY VA CLINIC
STATE CALIFORNIA
STREET ADDR. 1 201 9TH STREET
CITY MARINA
ZIP 93933-6039
OFFICIAL VA NAME MONTEREY VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MARINA VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1134162688
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 640HC
HISTORY
  • EFFECTIVE DATE:   1995-04-01 00:00:00
    REALIGNED FROM:   ZZ FT ORD
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1134162688
  • CODING SYSTEM:   VASTANUM
    ID:   640HC
  • CODING SYSTEM:   CLIA
    ID:   05D0988236