ZZMOUNT TABOR VA CLINIC (3739)    INSTITUTION (4)

Name Value
NAME ZZMOUNT TABOR VA CLINIC
STATE INDIANA
STREET ADDR. 1 821 MOUNT TABOR RD
CITY NEW ALBANY
ZIP 47150-6427
OFFICIAL VA NAME MOUNT TABOR VA CLINIC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MOUNT TABOR ROAD VA OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1508254640
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 603QA