| NAME |
PIQUETTE STREET VA CLINIC |
| STATE |
MICHIGAN |
| STREET ADDR. 1 |
301 PIQUETTE STREET |
| CITY |
DETROIT |
| ZIP |
48202-3513 |
| OFFICIAL VA NAME |
PIQUETTE STREET VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
PIQUETTE STREET VA CLINIC |
| ST. ADDR. 1 (MAILING) |
301 PIQUETTE STREET |
| CITY (MAILING) |
DETROIT |
| STATE (MAILING) |
MICHIGAN |
| ZIP (MAILING) |
48202-3513 |
| EFFECTIVE DATE/TIME |
-
- 2014-10-01 00:00:00
- STATUS: ACTIVE
- NPI: 1497143374
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
OTHER |
| POINTER TO AGENCY |
OTHER |
| STATION NUMBER |
553QA |