LOUIS A JOHNSON VAMC (201)    INSTITUTION (4)

Name Value
NAME LOUIS A JOHNSON VAMC
STATE WEST VIRGINIA
STREET ADDR. 1 1 MED CENTER DRIVE
CITY CLARKSBURG
ZIP 26301-4155
OFFICIAL VA NAME LOUIS A JOHNSON VAMC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CLARKSBURG VAMC
ST. ADDR. 1 (MAILING) 1 MED CENTER DRIVE
CITY (MAILING) CLARKSBURG
STATE (MAILING) WEST VIRGINIA
ZIP (MAILING) 26301-4155
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1295784056
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 540
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1295784056
  • CODING SYSTEM:   VASTANUM
    ID:   540
  • CODING SYSTEM:   CLIA
    ID:   51D0987415