WYOMING HEALTH CARE CENTER (170) INSTITUTION (4)

Name	Value
NAME	WYOMING HEALTH CARE CENTER
STATE	MICHIGAN
STREET ADDR. 1	5838 METRO WAY SW
CITY	WYOMING
ZIP	49519-9619
OFFICIAL VA NAME	WYOMING HEALTH CARE CENTER
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: BATTLE CREEK VA MEDICAL CENTER
BILLING FACILITY NAME	WYOMING VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1114966256 2014-12-01 00:00:00 STATUS: ACTIVE NPI: 1114966256
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	515BY
HISTORY	STREET ADDR. 1 (CHANGED FROM): 5838 METRO WAY S.W. CITY (CHANGED FROM): WYOMING STATE (CHANGED FROM): MICHIGAN ZIP (CHANGED FROM): 49519-9998
IDENTIFIER	CODING SYSTEM: NPI ID: 1114966256 CODING SYSTEM: VASTANUM ID: 515BY CODING SYSTEM: CLIA ID: 23D0988497