LYONS- VA NEW JERSEY HCS (280)    INSTITUTION (4)

Name Value
NAME LYONS- VA NEW JERSEY HCS
STATE NEW JERSEY
STREET ADDR. 1 151 KNOLLCROFT ROAD
CITY LYONS
ZIP 07939-5001
OFFICIAL VA NAME NEW JERSEY HEALTH CARE SYSTEM - LYONS CAMPUS
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LYONS VAMC
ST. ADDR. 1 (MAILING) 151 KNOLLCROFT ROAD
CITY (MAILING) LYONS
STATE (MAILING) NEW JERSEY
ZIP (MAILING) 07939-5001
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1396794293
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 561A4
HISTORY
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1396794293
  • CODING SYSTEM:   VASTANUM
    ID:   561A4
  • CODING SYSTEM:   CLIA
    ID:   31D0987039