MOUNT HOPE VA CLINIC (3492) INSTITUTION (4)

Name	Value
NAME	MOUNT HOPE VA CLINIC
STATE	NEW YORK
STREET ADDR. 1	1867 MOUNT HOPE AVE
CITY	ROCHESTER
ZIP	14620-4540
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 2 PARENT FACILITY PARENT OF ASSOCIATION: CANANDAIGUA VA MEDICAL CENTER
BILLING FACILITY NAME	MOUNT HOPE VA CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1295133890 2020-10-29 00:00:00 STATUS: INACTIVE NPI: 1295133890
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	528QD