PIQUETTE STREET VA CLINIC (3571)    INSTITUTION (4)

Name Value
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