ERRERA VA CLINIC (4082)    INSTITUTION (4)

Name Value
NAME ERRERA VA CLINIC
STATE CONNECTICUT
STREET ADDR. 1 114 ORANGE AVE
CITY WEST HAVEN
ZIP 06516-2043
OFFICIAL VA NAME ERRERA VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WEST HAVEN VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1730587478
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 689QA