ZZ-PHILADELPHIA MULTI-SRVC (2527) INSTITUTION (4)

Name	Value
NAME	ZZ-PHILADELPHIA MULTI-SRVC
STATE	PENNSYLVANIA
STREET ADDR. 1	214 N 4TH ST
CITY	PHILADELPHIA
ZIP	19104-9998
OFFICIAL VA NAME	PHILADELPHIA VETARNS MULTI-SERVICE CBOC
INACTIVE FACILITY FLAG	INACTIVE
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 4 PARENT FACILITY PARENT OF ASSOCIATION: PHILADELPHIA, PA VAMC
BILLING FACILITY NAME	PHILADELPHIA MULTI-SERVICE VA CBOC
EFFECTIVE DATE/TIME	2019-04-09 00:00:00 STATUS: INACTIVE NPI: 1518149129
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	642GE
HISTORY	EFFECTIVE DATE: 2006-10-01 00:00:00 REALIGNED FROM: ZZPHILADELPHIA COATSVILLE CBOC
IDENTIFIER	CODING SYSTEM: VASTANUM ID: 642GE