ROSEBURG VA MEDICAL CENTER (341) INSTITUTION (4)

Name	Value
NAME	ROSEBURG VA MEDICAL CENTER
STATE	OREGON
STREET ADDR. 1	913 NW GARDEN VALLEY BLVD.
CITY	ROSEBURG
ZIP	97471-6523
OFFICIAL VA NAME	ROSEBURG VA MEDICAL CENTER
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 20 PARENT FACILITY PARENT OF ASSOCIATION: ROSEBURG VA MEDICAL CENTER
BILLING FACILITY NAME	ROSEBURG VAMC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1174572549
TAXONOMY CODE	Hospitals PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	653
IDENTIFIER	CODING SYSTEM: NPI ID: 1174572549 CODING SYSTEM: VASTANUM ID: 653 CODING SYSTEM: CLIA ID: 38D0988132