BOISE VA MEDICAL CENTER (192)    INSTITUTION (4)

Name Value
NAME BOISE VA MEDICAL CENTER
STATE IDAHO
STREET ADDR. 1 500 WEST FORT ST.
CITY BOISE
ZIP 83702-4501
OFFICIAL VA NAME BOISE VA MEDICAL CENTER
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BOISE VAMC
ST. ADDR. 1 (MAILING) 500 W. FORT ST.
CITY (MAILING) BOISE
STATE (MAILING) IDAHO
ZIP (MAILING) 83702-4501
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1861441867
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 531
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1861441867
  • CODING SYSTEM:   VASTANUM
    ID:   531
  • CODING SYSTEM:   CLIA
    ID:   13D0988119