INDIANAPOLIS YMCA VA CLINIC (4452)    INSTITUTION (4)

Name Value
NAME INDIANAPOLIS YMCA VA CLINIC
STATE INDIANA
STREET ADDR. 1 5315 LAFAYETTE ROAD
CITY INDIANAPOLIS
ZIP 46254-1618
OFFICIAL VA NAME INDIANAPOLIS YMCA VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME INDIANAPOLIS 3 VA CLINIC
EFFECTIVE DATE/TIME
  • 2018-12-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1164992897
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 583QD