CLEVELAND EAST BLVD VA MOBILE (3545)    INSTITUTION (4)

Name Value
NAME CLEVELAND EAST BLVD VA MOBILE
STATE OHIO
STREET ADDR. 1 10701 EAST BLVD
CITY CLEVELAND
ZIP 44106-1702
OFFICIAL VA NAME CLEVELAND EAST BLVD VA MOBILE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CLEVELAND EAST BOULEVARD VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1144611179
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 541QE