LEXINGTON VA MOBILE CLINIC (4593)    INSTITUTION (4)

Name Value
NAME LEXINGTON VA MOBILE CLINIC
STATE KENTUCKY
STREET ADDR. 1 2250 LEESTOWN RD
CITY LEXINGTON
ZIP 40511-1052
OFFICIAL VA NAME LEXINGTON VA MOBILE CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LEXINGTON VA MOBILE CLINIC
EFFECTIVE DATE/TIME
  • 2023-09-26 00:00:00
    STATUS:   ACTIVE
    NPI:   1760261036
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 596QB
HISTORY