PHILADELPHIA, PA VAMC (328)    INSTITUTION (4)

Name Value
NAME PHILADELPHIA, PA VAMC
STATE PENNSYLVANIA
STREET ADDR. 1 3900 WOODLAND AVENUE
CITY PHILADELPHIA
ZIP 19104-4551
OFFICIAL VA NAME PHILADELPHIA, PA VAMC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PHILADELPHIA VAMC
ST. ADDR. 1 (MAILING) 3900 WOODLAND AVENUE
CITY (MAILING) PHILADELPHIA
STATE (MAILING) PENNSYLVANIA
ZIP (MAILING) 19104-4551
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1659321693
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 642
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1659321693
  • CODING SYSTEM:   VASTANUM
    ID:   642
  • CODING SYSTEM:   CLIA
    ID:   39D0987237