NAME |
LT COL LUKE WEATHERS JR VAMC |
STATE |
TENNESSEE |
STREET ADDR. 1 |
116 N PAULINE ST |
CITY |
MEMPHIS |
ZIP |
38104-1005 |
OFFICIAL VA NAME |
LT COL LUKE WEATHERS JR VAMC |
STATUS |
National |
ASSOCIATIONS |
|
BILLING FACILITY NAME |
MEMPHIS VAMC |
EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1255381695
|
TAXONOMY CODE |
|
LOCATION TIMEZONE |
CENTRAL |
COUNTRY |
USA |
AGENCY CODE |
VA |
POINTER TO AGENCY |
VA |
STATION NUMBER |
614 |
HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 1030 JEFFERSON AVENUE
- CITY (CHANGED FROM): MEMPHIS
- STATE (CHANGED FROM): TENNESSEE
- ZIP (CHANGED FROM): 38104-2127
|
IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1255381695
-
- CODING SYSTEM: VASTANUM
- ID: 614
-
- CODING SYSTEM: CLIA
- ID: 44D0987294
|