ZZ-MONTROSE 1 VA MOBILE (3788) INSTITUTION (4)

Name	Value
NAME	ZZ-MONTROSE 1 VA MOBILE
STATE	NEW YORK
STREET ADDR. 1	2094 ALBANY POST ROAD
CITY	MONTROSE
ZIP	10548-1454
OFFICIAL VA NAME	MONTROSE 1 VA MOBILE CLINIC
INACTIVE FACILITY FLAG	INACTIVE
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 2 PARENT FACILITY PARENT OF ASSOCIATION: HUDSON VALLEY HCS VAMC
BILLING FACILITY NAME	MONTROSE 1 VA MOBILE OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: INACTIVE NPI: 1528466174
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	620QA