MEMPHIS VA MEDICAL CENTER (292)    INSTITUTION (4)

Name Value
NAME MEMPHIS VA MEDICAL CENTER
STATE TENNESSEE
STREET ADDR. 1 1030 JEFFERSON AVENUE
CITY MEMPHIS
ZIP 38104-2127
OFFICIAL VA NAME MEMPHIS VA MEDICAL CENTER
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MEMPHIS VAMC
ST. ADDR. 1 (MAILING) 1030 JEFFERSON AVENUE
CITY (MAILING) MEMPHIS
STATE (MAILING) TENNESSEE
ZIP (MAILING) 38104-2127
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
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1255381695
  • CODING SYSTEM:   VASTANUM
    ID:   614
  • CODING SYSTEM:   CLIA
    ID:   44D0987294