| NAME |
DES MOINES VA COMM. LIVING CTR |
| STATE |
IOWA |
| STREET ADDR. 1 |
3600 30th STREET |
| CITY |
DES MOINES |
| ZIP |
50310-5774 |
| OFFICIAL VA NAME |
DES MOINES VA COMM. LIVING CTR |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
DES MOINES VA CLC |
| ST. ADDR. 1 (MAILING) |
3600 30th STREET |
| CITY (MAILING) |
DES MOINES |
| STATE (MAILING) |
IOWA |
| ZIP (MAILING) |
50310 |
| EFFECTIVE DATE/TIME |
-
- 2016-02-09 00:00:00
- STATUS: ACTIVE
- NPI: 1801256110
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
6369AD |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 6369AD
|
