INDIANAPOLIS VA FACILITY DOM (3662) INSTITUTION (4)

Name	Value
NAME	INDIANAPOLIS VA FACILITY DOM
STATE	INDIANA
STREET ADDR. 1	9045 EAST 59TH STREET, BLDG 402
CITY	INDIANAPOLIS
ZIP	46216-1030
OFFICIAL VA NAME	INDIANAPOLIS VA FACILITY DOMICILIARY
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 10 PARENT FACILITY PARENT OF ASSOCIATION: RICHARD L. ROUDEBUSH VAMC
BILLING FACILITY NAME	INDIANAPOLIS 1 VA CARE SITE
EFFECTIVE DATE/TIME	2017-08-02 00:00:00 STATUS: ACTIVE NPI: 1831697598
TAXONOMY CODE	Residential Treatment Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	583BU
IDENTIFIER	CODING SYSTEM: CLIA ID: 15D2048351