WICHITA VA MOBILE CLINIC (3699)    INSTITUTION (4)

Name Value
NAME WICHITA VA MOBILE CLINIC
STATE KANSAS
STREET ADDR. 1 5500 EAST KELLOGG DRIVE
CITY WICHITA
ZIP 67218-1607
OFFICIAL VA NAME WICHITA VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WICHITA VA MOBILE OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1841680097
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 589QD