LOUISVILLE SARRTP (2275)    INSTITUTION (4)

Name Value
NAME LOUISVILLE SARRTP
STATE KENTUCKY
STREET ADDR. 1 800 Zorn Avenue
CITY LOUISVILLE
ZIP 40206-1433
OFFICIAL VA NAME LOUISVILLE SARRTP
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LOUISVILLE VA CARE SITE
ST. ADDR. 1 (MAILING) 800 Zorn Avenue
CITY (MAILING) LOUISVILLE
STATE (MAILING) KENTUCKY
ZIP (MAILING) 40206-1433
EFFECTIVE DATE/TIME
  • 2015-09-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1649630955
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 603PB
IDENTIFIER
  • CODING SYSTEM:   VASTANUM
    ID:   603PB