NORTHWEST METRO VA CLINIC (3415)    INSTITUTION (4)

Name Value
NAME NORTHWEST METRO VA CLINIC
STATE MINNESOTA
STREET ADDR. 1 7545 VETERANS DRIVE
CITY RAMSEY
ZIP 55303-5196
OFFICIAL VA NAME NORTHWEST METRO VA OPC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME RAMSEY VA CBOC
EFFECTIVE DATE/TIME
  • 2012-05-15 00:00:00
    STATUS:   ACTIVE
    NPI:   1740548494
  • 2011-11-15 00:00:00
    STATUS:   ACTIVE
    NPI:   1912206228
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 618GI