MONTROSE 3 VA MOBILE CLINIC (3790) INSTITUTION (4)

Name	Value
NAME	MONTROSE 3 VA MOBILE CLINIC
STATE	NEW YORK
STREET ADDR. 1	2094 ALBANY POST ROAD
CITY	MONTROSE
ZIP	10548-1454
OFFICIAL VA NAME	MONTROSE 3 VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 2 PARENT FACILITY PARENT OF ASSOCIATION: HUDSON VALLEY HCS VAMC
BILLING FACILITY NAME	MONTROSE 3 VA MOBILE OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1073911624 2021-11-15 00:00:00 STATUS: INACTIVE NPI: 1073911624
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	620QC