PROVIDENCE VAMC (338)    INSTITUTION (4)

Name Value
NAME PROVIDENCE VAMC
STATE RHODE ISLAND
STREET ADDR. 1 830 CHALKSTONE AVE
CITY PROVIDENCE
ZIP 02908-4734
OFFICIAL VA NAME PROVIDENCE VAMC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PROVIDENCE VAMC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1306896733
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 650
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   830 CHALKSTONE AVE.
    CITY (CHANGED FROM):   PROVIDENCE
    STATE (CHANGED FROM):   RHODE ISLAND
    ZIP (CHANGED FROM):   02908-4734
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1306896733
  • CODING SYSTEM:   VASTANUM
    ID:   650
  • CODING SYSTEM:   CLIA
    ID:   41D0986930