E. BALTIMORE COUNTY VA CLINIC (2162) INSTITUTION (4)

Name	Value
NAME	E. BALTIMORE COUNTY VA CLINIC
STATE	MARYLAND
STREET ADDR. 1	5235 KING AVENUE, SUITE 200
CITY	ROSEDALE
ZIP	21237-4068
OFFICIAL VA NAME	E. BALTIMORE COUNTY VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 5 PARENT FACILITY PARENT OF ASSOCIATION: VA MARYLAND HEALTH CARE SYS
BILLING FACILITY NAME	ROSEDALE VA CLINIC
EFFECTIVE DATE/TIME	2007-09-19 00:00:00 STATUS: ACTIVE NPI: 1245380872
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	512GF
IDENTIFIER	CODING SYSTEM: VASTANUM ID: 512GF