| NAME |
ZZ-VIGO COUNTY VA CLINIC |
| STATE |
INDIANA |
| STREET ADDR. 1 |
4612 SOUTH SPRINGHILL JUNCTION |
| CITY |
TERRE HAUTE |
| ZIP |
47802-9998 |
| OFFICIAL VA NAME |
ZZ-VIGO COUNTY VA CLINIC |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
TERRE HAUTE 1 VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1982092870
-
- 2024-01-22 00:00:00
- STATUS: INACTIVE
- NPI: 1982092870
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
583QC |
