BALTIMORE VA CLINIC (3452)    INSTITUTION (4)

Name Value
NAME BALTIMORE VA CLINIC
STATE MARYLAND
STREET ADDR. 1 209 WEST FAYETTE STREET
CITY BALTIMORE
ZIP 21201-3403
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BALTIMORE 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2011-07-11 00:00:00
    STATUS:   ACTIVE
    NPI:   1376054429
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 512QA