NORTHPORT VAMC (316)    INSTITUTION (4)

Name Value
NAME NORTHPORT VAMC
STATE NEW YORK
STREET ADDR. 1 79 MIDDLEVILLE ROAD
STREET ADDR. 2 BLDG 200
CITY NORTHPORT
ZIP 11768-2200
OFFICIAL VA NAME NORTHPORT VAMC NY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME NORTHPORT VAMC
ST. ADDR. 1 (MAILING) 79 MIDDLEVILLE ROAD
ST. ADDR. 2 (MAILING) BLDG 200
CITY (MAILING) NORTHPORT
STATE (MAILING) NEW YORK
ZIP (MAILING) 11768-2200
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1033169412
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 632
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1033169412
  • CODING SYSTEM:   VASTANUM
    ID:   632
  • CODING SYSTEM:   CLIA
    ID:   33D0987196