HAMPTON VA MOBILE CLINIC (3706)    INSTITUTION (4)

Name Value
NAME HAMPTON VA MOBILE CLINIC
STATE VIRGINIA
STREET ADDR. 1 100 EMANCIPATION DR, LOT #22
CITY HAMPTON
ZIP 23667-0001
OFFICIAL VA NAME HAMPTON VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME HAMPTON VA MOBILE OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1922496140
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 590QA