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 |
ST. ADDR. 1 (MAILING) |
830 CHALKSTONE AVE. |
CITY (MAILING) |
PROVIDENCE |
STATE (MAILING) |
RHODE ISLAND |
ZIP (MAILING) |
02908-4734 |
EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1306896733
|
TAXONOMY CODE |
|
LOCATION TIMEZONE |
EASTERN |
COUNTRY |
USA |
AGENCY CODE |
VA |
POINTER TO AGENCY |
VA |
STATION NUMBER |
650 |
IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1306896733
-
- CODING SYSTEM: VASTANUM
- ID: 650
-
- CODING SYSTEM: CLIA
- ID: 41D0986930
|