JAMES H. QUILLEN VAMC (299)    INSTITUTION (4)

Name Value
NAME JAMES H. QUILLEN VAMC
STATE TENNESSEE
STREET ADDR. 1 CORNER OF LAMONT STREET AND VETERANS WAY
CITY MOUNTAIN HOME
ZIP 37684-9998
OFFICIAL VA NAME JAMES H. QUILLEN VAMC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MOUNTAIN HOME VAMC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1831148253
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 621
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   SIDNEY & LAMONT ST
    CITY (CHANGED FROM):   MOUNTAIN HOME
    STATE (CHANGED FROM):   TENNESSEE
    ZIP (CHANGED FROM):   37684-4000
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1831148253
  • CODING SYSTEM:   VASTANUM
    ID:   621
  • CODING SYSTEM:   CLIA
    ID:   44D0987609