WEST PHILADELPHIA VA CLINIC (4481)    INSTITUTION (4)

Name Value
NAME WEST PHILADELPHIA VA CLINIC
STATE PENNSYLVANIA
STREET ADDR. 1 6232 MARKET STREET, SUITE 100
CITY PHILADELPHIA
ZIP 19139-2922
OFFICIAL VA NAME WEST PHILADELPHIA VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME PHILADELPHIA VA CLINIC
EFFECTIVE DATE/TIME
  • 2019-03-04 00:00:00
    STATUS:   ACTIVE
    NPI:   1407316219
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 642GH