| 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 |
|
| 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 |
|
| 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
|
