HUNTINGTON VA MOBILE CLINIC (4288)    INSTITUTION (4)

Name Value
NAME HUNTINGTON VA MOBILE CLINIC
STATE WEST VIRGINIA
STREET ADDR. 1 1540 SPRING VALLEY DRIVE
CITY HUNTINGTON
ZIP 25704-9300
OFFICIAL VA NAME HUNTINGTON VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME HUNTINGTON 1 VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2018-02-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1619475027
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 581QB