MARION IL VAMC (2019)    INSTITUTION (4)

Name Value
NAME MARION IL VAMC
STATE ILLINOIS
STREET ADDR. 1 2401 W. MAIN STREET
CITY MARION
ZIP 62959-1188
OFFICIAL VA NAME MARION VA MEDICAL CENTER
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MARION VAMC
ST. ADDR. 1 (MAILING) 2401 W. MAIN STREET
CITY (MAILING) MARION
STATE (MAILING) ILLINOIS
ZIP (MAILING) 62959-1188
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1710936174
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 657A5
HISTORY
  • EFFECTIVE DATE:   2001-07-01 00:00:00
    REALIGNED FROM:   ZZ MARION VAMC
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1710936174
  • CODING SYSTEM:   VASTANUM
    ID:   657A5
  • CODING SYSTEM:   CLIA
    ID:   14D0987277