WILKES-BARRE VAMC (400)    INSTITUTION (4)

Name Value
NAME WILKES-BARRE VAMC
STATE PENNSYLVANIA
STREET ADDR. 1 1111 EAST END BLVD
CITY WILKES BARRE
ZIP 18711-0030
OFFICIAL VA NAME WILKES-BARRE VAMC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WILKES BARRE VAMC
ST. ADDR. 1 (MAILING) 1111 EAST END BLVD
CITY (MAILING) WILKES BARRE
STATE (MAILING) PENNSYLVANIA
ZIP (MAILING) 18711-0030
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1952351967
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 693
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1952351967
  • CODING SYSTEM:   VASTANUM
    ID:   693
  • CODING SYSTEM:   CLIA
    ID:   39D0987238