| NAME |
TUSCALOOSA PRRTP |
| STATE |
ALABAMA |
| STREET ADDR. 1 |
3701 LOOP ROAD EAST |
| CITY |
TUSCALOOSA |
| ZIP |
35404-5015 |
| OFFICIAL VA NAME |
TUSCALOOSA PRRTP |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
TUSCALOOSA VA CARE SITE |
| ST. ADDR. 1 (MAILING) |
3701 LOOP RD EAST |
| CITY (MAILING) |
TUSCALOOSA |
| STATE (MAILING) |
ALABAMA |
| ZIP (MAILING) |
35404-5015 |
| EFFECTIVE DATE/TIME |
-
- 2015-09-01 00:00:00
- STATUS: ACTIVE
- NPI: 1023478336
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
679PA |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 679PA
|
