GEORGE E. WAHLEN VAMC (354)    INSTITUTION (4)

Name Value
NAME GEORGE E. WAHLEN VAMC
STATE UTAH
STREET ADDR. 1 500 FOOTHILL BLVD.
CITY SALT LAKE CITY
ZIP 84148-0001
OFFICIAL VA NAME GEORGE E. WAHLEN VAMC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SALT LAKE CITY VAMC
ST. ADDR. 1 (MAILING) 500 FOOTHILL BLVD.
CITY (MAILING) SALT LAKE CITY
STATE (MAILING) UTAH
ZIP (MAILING) 84148-0001
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1043260862
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 660
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1043260862
  • CODING SYSTEM:   VASTANUM
    ID:   660
  • CODING SYSTEM:   CLIA
    ID:   46D0987846