BATH VAMC MOBILE MEDICAL UNIT (3500) INSTITUTION (4)

Name	Value
NAME	BATH VAMC MOBILE MEDICAL UNIT
STATE	NEW YORK
STREET ADDR. 1	76 VETERANS AVE
CITY	BATH
ZIP	14810-0810
OFFICIAL VA NAME	BATH VAMC MOBILE MEDICAL UNIT
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 2 PARENT FACILITY PARENT OF ASSOCIATION: BATH VA MEDICAL CENTER
BILLING FACILITY NAME	BATH VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1295133809 2020-10-29 00:00:00 STATUS: INACTIVE NPI: 1295133809
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	528QL