ZZ-MOBILE CLINIC TUSCALOOSA (4059)    INSTITUTION (4)

Name Value
NAME ZZ-MOBILE CLINIC TUSCALOOSA
STATE ALABAMA
STREET ADDR. 1 3701 LOOP ROAD EAST
CITY TUSCALOOSA
ZIP 35404-5015
OFFICIAL VA NAME ZZ-MOBILE CLINIC TUSCALOOSA
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME TUSCALOOSA VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2011-09-19 00:00:00
    STATUS:   INACTIVE
    NPI:   1285019810
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
STATION NUMBER 679HK