MONROE VA CLINIC (1781)    INSTITUTION (4)

Name Value
NAME MONROE VA CLINIC
STATE LOUISIANA
STREET ADDR. 1 1691 BIENVILLE DRIVE
CITY MONROE
ZIP 71201-3756
OFFICIAL VA NAME MONROE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MONROE VA CLINIC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1649218090
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 667GB
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1649218090
  • CODING SYSTEM:   VASTANUM
    ID:   667GB
  • CODING SYSTEM:   CLIA
    ID:   19D1001735