| NAME |
HAMPTON 1 VA MOBILE CLINIC |
| STATE |
VIRGINIA |
| STREET ADDR. 1 |
100 EMANCIPATION DR |
| CITY |
HAMPTON |
| ZIP |
23667-0001 |
| OFFICIAL VA NAME |
HAMPTON 1 VA MOBILE CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
HAMPTON 2 VA MOBILE CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2014-10-01 00:00:00
- STATUS: ACTIVE
- NPI: 1831587054
-
- 2023-09-27 00:00:00
- STATUS: ACTIVE
- NPI: 1861271918
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
590QC |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 100 EMNCIPATION DR, BLDG 110B, LOT 22
- CITY (CHANGED FROM): HAMPTON
- STATE (CHANGED FROM): VIRGINIA
- ZIP (CHANGED FROM): 23667-0001
|
