ZZ-MONTGOMERY COUNTY VA MOBILE (3568) INSTITUTION (4)

Name	Value
NAME	ZZ-MONTGOMERY COUNTY VA MOBILE
STATE	OHIO
STREET ADDR. 1	4100 WEST THIRD ST
CITY	DAYTON
ZIP	45428-9000
OFFICIAL VA NAME	MONTGOMERY COUNTY VA MOBILE
INACTIVE FACILITY FLAG	INACTIVE
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: DAYTON
BILLING FACILITY NAME	MONTGOMERY COUNTY VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2015-02-01 00:00:00 STATUS: INACTIVE NPI: 1437540515
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	552QC