EAGLE PASS (1794)    INSTITUTION (4)

Name Value
NAME EAGLE PASS
STATE TEXAS
STREET ADDR. 1 UNITED MEDICAL CENTERS, 2525 LOOP 431
CITY EAGLE PASS
ZIP 78852-3302
OFFICIAL VA NAME UNITED MEDICAL CENTERS
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME EAGLE PASS VA CBOC
ST. ADDR. 1 (MAILING) UNITED MEDICAL CENTERS, 2525 LOOP 431
CITY (MAILING) EAGLE PASS
STATE (MAILING) TEXAS
ZIP (MAILING) 78852-3302
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   INACTIVE
    NPI:   1326090093
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE OTHER
POINTER TO AGENCY OTHER
STATION NUMBER 671GD
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1326090093
  • CODING SYSTEM:   VASTANUM
    ID:   671GD
  • CODING SYSTEM:   CLIA
    ID:   45D0506374