RICHMOND 2 VA MOBILE CLINIC (3915) INSTITUTION (4)

Name	Value
NAME	RICHMOND 2 VA MOBILE CLINIC
STATE	VIRGINIA
STREET ADDR. 1	1201 BROAD ROCK BLVD
CITY	RICHMOND
ZIP	23224-4915
OFFICIAL VA NAME	RICHMOND 2 VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 6 PARENT FACILITY PARENT OF ASSOCIATION: RICHMOND VA MEDICAL CENTER
BILLING FACILITY NAME	RICHMOND VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1073920179
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
STATION NUMBER	652GH