| NAME |
FORT MEADE VA CLINIC |
| STATE |
MARYLAND |
| STREET ADDR. 1 |
2479 5TH ST STE 5138 |
| CITY |
FORT MEADE |
| ZIP |
20755-9998 |
| OFFICIAL VA NAME |
FORT MEADE VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
FORT MEADE VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2013-01-14 00:00:00
- STATUS: ACTIVE
- NPI: 1811236060
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
512GG |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 2479 5TH STREET
- CITY (CHANGED FROM): FORT MEADE
- STATE (CHANGED FROM): MARYLAND
- ZIP (CHANGED FROM): 20755-5138
|
