BOSTON VA MOBILE CLINIC (3481)    INSTITUTION (4)

Name Value
NAME BOSTON VA MOBILE CLINIC
STATE MASSACHUSETTS
STREET ADDR. 1 150 S. HUNTINGTON AVE
CITY BOSTON
ZIP 02130-4893
OFFICIAL VA NAME BOSTON VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BOSTON VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2015-03-09 00:00:00
    STATUS:   ACTIVE
    NPI:   1861887721
  • 2020-09-27 00:00:00
    STATUS:   INACTIVE
    NPI:   1861887721
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE OTHER
POINTER TO AGENCY OTHER
STATION NUMBER 523QA