DES MOINES VA MOBILE CLINIC (3871)    INSTITUTION (4)

Name Value
NAME DES MOINES VA MOBILE CLINIC
STATE IOWA
STREET ADDR. 1 3600 30TH STREET
CITY DES MOINES
ZIP 50310-5774
OFFICIAL VA NAME DES MOINES VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DES MOINES VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2015-03-09 00:00:00
    STATUS:   ACTIVE
    NPI:   1114304185
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
STATION NUMBER 636QH