| NAME |
RICHARD L. ROUDEBUSH VAMC |
| STATE |
INDIANA |
| STREET ADDR. 1 |
1481 West 10th Street |
| CITY |
INDIANAPOLIS |
| ZIP |
46202-2803 |
| OFFICIAL VA NAME |
RICHARD L. ROUDEBUSH VAMC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
INDIANAPOLIS VAMC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1811946361
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
583 |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1811946361
-
- CODING SYSTEM: VASTANUM
- ID: 583
-
- CODING SYSTEM: CLIA
- ID: 15D0988539
|