INACTIVE ** DOWNRIVER (4569)    INSTITUTION (4)

Name Value
NAME INACTIVE ** DOWNRIVER
STATE MICHIGAN
STREET ADDR. 1 1640 FORT ST STE D
CITY TRENTON
ZIP 48183-2040
OFFICIAL VA NAME DOWNRIVER VA CLINIC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME TRENTON VA CLINIC
EFFECTIVE DATE/TIME
  • 2024-05-08 00:00:00
    STATUS:   INACTIVE
    NPI:   1396591277
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 553GC
HISTORY