ELMENDORF-RICHARDSON VA CLINIC (4406)    INSTITUTION (4)

Name Value
NAME ELMENDORF-RICHARDSON VA CLINIC
STATE ALASKA
STREET ADDR. 1 5955 ZEAMER AVE, BLDG 673
CITY ELMENDORF AFB
ZIP 99506-3702
OFFICIAL VA NAME ELMENDORF-RICHARDSON VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ELMENDORF AFB VA CLINIC
EFFECTIVE DATE/TIME
  • 2020-07-28 00:00:00
    STATUS:   ACTIVE
    NPI:   1174132823
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 463QA