| NAME |
HINES, IL VAMC |
| STATE |
ILLINOIS |
| STREET ADDR. 1 |
5000 S 5TH AVE |
| CITY |
HINES |
| ZIP |
60141-3030 |
| OFFICIAL VA NAME |
EDWARD J. HINES JR. HOSPITAL |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
HINES VAMC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1427007863
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
578 |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 5000 S 5TH AVENUE
- CITY (CHANGED FROM): HINES
- STATE (CHANGED FROM): ILLINOIS
- ZIP (CHANGED FROM): 60141-3030
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1427007863
-
- CODING SYSTEM: VASTANUM
- ID: 578
-
- CODING SYSTEM: CLIA
- ID: 14D0988151
|