HEARTLAND STREET VA CLINIC (3953)    INSTITUTION (4)

Name Value
NAME HEARTLAND STREET VA CLINIC
STATE ILLINOIS
STREET ADDR. 1 3403 HEARTLAND STREET
CITY MARION
ZIP 62959-6393
OFFICIAL VA NAME HEARTLAND STREET VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME HEARTLAND STREET VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1558751776
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
STATION NUMBER 657QD