| NAME |
WYOMING HEALTH CARE CENTER |
| STATE |
MICHIGAN |
| STREET ADDR. 1 |
5838 METRO WAY S.W. |
| CITY |
WYOMING |
| ZIP |
49519-9998 |
| 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 |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1114966256
-
- CODING SYSTEM: VASTANUM
- ID: 515BY
-
- CODING SYSTEM: CLIA
- ID: 23D0988497
|
