| NAME |
CONNECTICUT HCS |
| STATE |
CONNECTICUT |
| STREET ADDR. 1 |
950 CAMPBELL AVENUE |
| CITY |
WEST HAVEN |
| ZIP |
06516-2770 |
| OFFICIAL VA NAME |
VA CONNECTICUT HEALTHCARE SYSTEM - WEST HAVEN DIVISION |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WEST HAVEN VAMC |
| ST. ADDR. 1 (MAILING) |
950 CAMPBELL AVENUE |
| CITY (MAILING) |
WEST HAVEN |
| STATE (MAILING) |
CONNECTICUT |
| ZIP (MAILING) |
06516-2770 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1245289610
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
689 |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1245289610
-
- CODING SYSTEM: VASTANUM
- ID: 689
-
- CODING SYSTEM: CLIA
- ID: 07D0989785
|
