LANSING NORTH VA CLINIC (3454)    INSTITUTION (4)

Name Value
NAME LANSING NORTH VA CLINIC
STATE MICHIGAN
STREET ADDR. 1 2025 SOUTH WASHINGTON AVE, 3RD FLR
CITY LANSING
ZIP 48910-0828
OFFICIAL VA NAME LANSING NORTH VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LANSING VA OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1528456415
  • 2021-08-22 00:00:00
    STATUS:   INACTIVE
    NPI:   1528456415
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 515QA