LENEXA VA CLINIC (4456)    INSTITUTION (4)

Name Value
NAME LENEXA VA CLINIC
STATE KANSAS
STREET ADDR. 1 15512 W 113TH ST
CITY LENEXA
ZIP 66219-9998
OFFICIAL VA NAME LENEXA VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LENEXA VA CLINIC
EFFECTIVE DATE/TIME
  • 2021-06-10 00:00:00
    STATUS:   ACTIVE
    NPI:   1073180675
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 589JG