| NAME |
ZZ-RURAL AND COMNTY HLTCARE |
| STATE |
MAINE |
| STREET ADDR. 1 |
241 MAIN ST |
| CITY |
BINGHAM |
| ZIP |
04920-9998 |
| OFFICIAL VA NAME |
ZZ-RURAL AND COMNTY HLTCARE |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
BINGHAM VA MOBILE CLINIC |
| ST. ADDR. 1 (MAILING) |
1 VA CENTER ST |
| CITY (MAILING) |
AUGUSTA |
| STATE (MAILING) |
MAINE |
| ZIP (MAILING) |
04330-6719 |
| EFFECTIVE DATE/TIME |
-
- 2009-04-01 00:00:00
- STATUS: ACTIVE
- NPI: 1942675103
-
- 2024-01-22 00:00:00
- STATUS: INACTIVE
- NPI: 1942675103
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
402HL |
