ST. CLOUD VA HCS (345)    INSTITUTION (4)

Name Value
NAME ST. CLOUD VA HCS
STATE MINNESOTA
STREET ADDR. 1 4801 VETERANS DRIVE
CITY ST. CLOUD
ZIP 56303-2015
OFFICIAL VA NAME ST. CLOUD VA HEALTH CARE SYSTEM
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ST. CLOUD VAMC
ST. ADDR. 1 (MAILING) 4801 VETERANS DRIVE
CITY (MAILING) ST. CLOUD
STATE (MAILING) MINNESOTA
ZIP (MAILING) 56303-2015
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1588614325
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 656
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1588614325
  • CODING SYSTEM:   VASTANUM
    ID:   656
  • CODING SYSTEM:   CLIA
    ID:   24D0988148