JACK C. MONTGOMERY VAMC (301)    INSTITUTION (4)

Name Value
NAME JACK C. MONTGOMERY VAMC
STATE OKLAHOMA
STREET ADDR. 1 1011 Honor Heights Drive
STREET ADDR. 2 Honor Heights Drive
CITY MUSKOGEE
ZIP 74401-1318
OFFICIAL VA NAME MUSKOGEE, OK VAMC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MUSKOGEE VAMC
ST. ADDR. 1 (MAILING) 1011 Honor Heights Drive
CITY (MAILING) Muskogee
STATE (MAILING) OKLAHOMA
ZIP (MAILING) 74401-1318
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1598714925
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 623
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1598714925
  • CODING SYSTEM:   VASTANUM
    ID:   623
  • CODING SYSTEM:   CLIA
    ID:   37D0987997