WRIGHT PATTERSON AFB VA CLINIC (4428)    INSTITUTION (4)

Name Value
NAME WRIGHT PATTERSON AFB VA CLINIC
STATE OHIO
STREET ADDR. 1 4881 SUGAR MAPLE DRIVE
CITY WRIGHT PATTERSON AFB
ZIP 45433-5529
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WRIGHT PATTERSON AFB VA CLINIC
EFFECTIVE DATE/TIME
  • 2020-01-23 00:00:00
    STATUS:   ACTIVE
    NPI:   1447872833
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 552GF