LT COL LUKE WEATHERS JR VAMC (292)    INSTITUTION (4)

Name Value
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
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
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